Organization
ZIBA REZAEE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIBA REZAEE MD (SOLE PROPRIETOR)
(512) 263-5100
Entity
Organization
Contact information
Practice address
1205 RANCH ROAD 620 S, LAKEWAY, TX 78734-6311
(512) 263-5100
(512) 263-5104
Mailing address
1205 RANCH ROAD 620 S STE 201, LAKEWAY, TX 78734-6311
(512) 263-5100
(512) 263-5104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/22/2017
Last updated
06/20/2023
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