Healthcare Provider Details

I. General information

NPI: 1134034747
Provider Name (Legal Business Name): WATER OAK PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 DENALI PASS STE 101
CEDAR PARK TX
78613-7979
US

IV. Provider business mailing address

801 S HIGHWAY 183 STE 266
LEANDER TX
78641-1991
US

V. Phone/Fax

Practice location:
  • Phone: 737-843-4210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN MASSEY
Title or Position: MEMBER
Credential: MD
Phone: 737-843-4210