Individual
ZIBA REZAEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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, LAKEWAY, TX 78734-6311
(512) 263-5100
(512) 263-5104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
BP1-0032079
TX
2084P0800X
Psychiatry Physician
Primary
N7864
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2939571
—
TX
Enumeration date
06/10/2008
Last updated
03/17/2018
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