Individual
DR. DOROTHY NELL OVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
774 LANDA ST, NEW BRAUNFELS, TX 78130-6114
(830) 625-0305
(830) 625-2693
Mailing address
774 LANDA ST, NEW BRAUNFELS, TX 78130-6114
(830) 625-0305
(830) 625-2693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G3665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121011402
—
TX
01
—
1G9945
MEDICARE
TX
01
—
83X657
BLUE CROSS BLUE SHIELD
TX
01
—
P02569428
MEDICARE RAILROAD
TX
Enumeration date
07/10/2006
Last updated
01/11/2021
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