Provider Demographics
NPI:1659325462
Name:OVERN, STEVEN PAUL (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PAUL
Last Name:OVERN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:111 S PRESTON RD STE 10
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-8885
Mailing Address - Country:US
Mailing Address - Phone:469-800-5200
Mailing Address - Fax:469-800-5210
Practice Address - Street 1:111 S PRESTON RD STE 10
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-8885
Practice Address - Country:US
Practice Address - Phone:469-800-5200
Practice Address - Fax:469-800-5210
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2023-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH6489207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF10044OtherUPIN