Provider Demographics
NPI:1518987437
Name:OVERBY-ANAYA, JULIE D (DPM)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:D
Last Name:OVERBY-ANAYA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7711
Mailing Address - Country:US
Mailing Address - Phone:512-508-5614
Mailing Address - Fax:
Practice Address - Street 1:906 W 18TH ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7711
Practice Address - Country:US
Practice Address - Phone:512-508-5614
Practice Address - Fax:512-240-4431
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2033213E00000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX318197OtherPTAN
TX1518987437OtherNPI
TX27700OtherTIN
AL051076386OtherBLUE CROSS BLUE SHIELDS
TXU52367Medicare UPIN