Individual
DR. JOHN DOUGLAS OVERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 TUSCAN, SUITE 205, IRVING, TX 75039-3834
(972) 253-2505
(833) 944-1908
Mailing address
701 TUSCAN DR STE 205, IRVING, TX 75039-3838
(972) 253-2505
(833) 944-1908
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G9376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1354078 03
—
TX
Enumeration date
07/20/2005
Last updated
08/11/2020
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