=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518987437
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIE D OVERBY-ANAYA DPM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2006
-----------------------------------------------------
Last Update Date | 02/22/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 906 W 18TH ST
-----------------------------------------------------
City | GEORGETOWN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78626-7711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-508-5614
-----------------------------------------------------
Fax | 512-240-4431
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 906 W 18TH ST
-----------------------------------------------------
City | GEORGETOWN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78626-7711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-508-5614
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 2033
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------