Individual
DR. JULIE D OVERBY-ANAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
906 W 18TH ST, GEORGETOWN, TX 78626-7711
(512) 508-5614
(512) 240-4431
Mailing address
906 W 18TH ST, GEORGETOWN, TX 78626-7711
(512) 508-5614
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051076386
BLUE CROSS BLUE SHIELDS
AL
01
—
1518987437
NPI
TX
01
—
27700
TIN
TX
01
—
318197
PTAN
TX
Enumeration date
07/21/2006
Last updated
02/22/2023
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