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NPI Code Detail

MEDICARE: EVA OVERSTREET-LINCOLN

MEDICARE: EVA OVERSTREET-LINCOLN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant211443TX

General Provider Information

NPI Number : 1336417666
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA OVERSTREET-LINCOLN
Provider Business Mailing Address
First Line : 4109 HIGHWAY 98 W
Second Line :
City : SUMMIT
State : MS
Zip : 39666-9132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 RUTHLYNN DR
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-5635
Country : US
Telephone Number : 903-238-9198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2011
Last Update Date : 12/01/2011

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Directions to “ EVA OVERSTREET-LINCOLN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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