LAKEWAY PSYCHIATRY AND BEHAVIORAL HEALTH


Address: 117 Sebastians Run, Austin, TX 78738-6556
Phone: 5125673390

LAKEWAY PSYCHIATRY AND BEHAVIORAL HEALTH (NPI# 1598022972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598022972
Entity Type Organization
Organization Name LAKEWAY PSYCHIATRY AND BEHAVIORAL HEALTH
Practice Address 117 Sebastians Run
Austin
TX 78738-6556
Practice Telephone 5125673390
Enumeration Date 2012-04-23
Last Update Date 2012-04-23
Authorized Official Name DR. ZIBA REZAEE (PSYCHIATRIST)
Authorized Official Telephone 5125673390
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
N7864 TX Ambulatory Health Care Facilities

Office Location

Street Address 117 SEBASTIANS RUN
City AUSTIN
State TX
Zip Code 78738-6556

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City AUSTIN
Zip Code 78738

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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