| NPI | 1205342474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIBA REZAEE Sole Proprietor 512-263-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2023-06-20 |