| Paul A Overlie, MD | |
|
3514 21st St, Lubbock, TX 79410-1210 | |
| (806) 725-1801 | |
| (806) 723-7535 |
| Full Name | Paul A Overlie |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 3514 21st St, Lubbock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598769275 | NPI | - | NPPES |
| P01772077 | Other | TX | RAILROAD MEDICARE |
| 120843107 | Other | TX | FIRSTCARE |
| 8GH487 | Other | TX | BCBS TX |
| 274410YKT8 | Other | TX | MEDICARE |
| 119000106 | Medicaid | TX | |
| 000W7173 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | H5345 (Texas) | Primary |
| Entity Name | Texas Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497014369 PECOS PAC ID: 0042476582 Enrollment ID: O20120727000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A Overlie, MD 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5844 | Paul A Overlie, MD 3514 21st St, Lubbock, TX 79410-1210 Ph: (806) 725-1801 |
Mustafa Aly, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-4130 | |
Janice Stachowiak, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-3150 Fax: 806-743-3168 | |
M Alan Sharif, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4802 N Loop 289, Lubbock, TX 79416 Phone: 806-788-0040 Fax: 806-788-0015 | |
Dr. Vernon Farthing, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3502 9th St, Ste. 210, Lubbock, TX 79415 Phone: 806-762-8461 | |
Ashref Mohamed, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3415 19th St, Lubbock, TX 79410 Phone: 806-725-4130 | |
Sima Lina Shahbandar, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3601 4th St # Ms 9410, Lubbock, TX 79430 Phone: 806-743-6840 | |
Howard P Hurd Ii, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4515 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 |