Ziba Rezaee Md Pllc | |
1205 Ranch Road 620 S Lakeway TX 78734-6311 | |
(512) 263-5100 | |
(512) 263-5104 |
Full Name | Ziba Rezaee Md Pllc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1205 Ranch Road 620 S, Lakeway, Texas |
Authorized Official Name and Position | Ziba Rezaee (SOLE PROPRIETOR) |
Authorized Official Contact | 5122635100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ziba Rezaee Md Pllc 1205 Ranch Road 620 S Ste 201 Lakeway TX 78734-6311 Ph: (512) 263-5100 | Ziba Rezaee Md Pllc 1205 Ranch Road 620 S Lakeway TX 78734-6311 Ph: (512) 263-5100 |
NPI Number | 1205342474 |
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Provider Enumeration Date | 12/22/2017 |
Last Update Date | 06/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205342474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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