# LAKEWAY PSYCHIATRY AND BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598022972
- **Authorized official:** DR. ZIBA REZAEE M.D. (PSYCHIATRIST)
- **Authorized official phone:** (512) 567-3390

## Contact information

- **Practice address:** 117 SEBASTIANS RUN, AUSTIN, TX 78738-6556
- **Practice address phone:** (512) 567-3390
- **Mailing address:** 117 SEBASTIANS RUN, AUSTIN, TX 78738-6556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | N7864 | TX | Yes |

## Other

- **Enumeration date:** 04/23/2012
- **Last updated:** 04/23/2012