Talus Assist PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

TALUS ASSIST PLLC

Practice address

700 E Marshall Ave
Longview, TX 75601-5580

Phone

(817) 756-8236

NPI assigned

Oct 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rekha Wagle

Title

Npi Administrator

Phone

(817) 756-8232

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1124790738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 CENTRAL DRIVE",
            "address_2": "STE 107, #138",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "817-756-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015580",
            "telephone_number": "817-756-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALUS ASSIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "WAGLE",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "NPI ADMINISTRATOR",
        "authorized_official_telephone_number": "817-756-8232"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwagle@surgicalserv.com",
            "affiliation": "N",
            "address_1": "2000 E LaMar Blvd",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760067346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shahryar Syed, MD
• Ibironke Talabi, PHARMD
• Fernando Franklin Guison Talabis Jr., PT
• Leah Kristina Talasek, PTA
• Comesha S Talley, FNP
• Tamarack Residential Services
• Tamarack Residential Services
• Tamarck Residential Services
• Ezza Tariq, MD
• Jennifer Morgan Tarr, RN, APRN, FNP-C

• Surgical Physician Assistant in Longview, TX
• Providers in Longview, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.