Individual
PAUL A OVERLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H5345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000W7173
—
NM
05
—
119000106
—
TX
01
—
120843107
FIRSTCARE
TX
01
—
274410YKT8
MEDICARE
TX
01
—
8GH487
BCBS TX
TX
01
—
P01772077
RAILROAD MEDICARE
TX
Enumeration date
06/09/2005
Last updated
12/07/2017
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