MEDICARE: DR. HOMAYUN SEIRAFI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	G2837	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801982152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOMAYUN SEIRAFI MD

Provider Business Mailing Address
First Line	:	2410 WYCON DR
Second Line	:	SUITE 204
City	:	WACO
State	:	TX
Zip	:	76712-8957
Country	:	US
Telephone Number	:	254-756-7770
Fax Number	:	254-757-2007

Provider Business Practice Location Address
First Line	:	2410 WYCON DR
Second Line	:	SUITE 204
City	:	WACO
State	:	TX
Zip	:	76712-8957
Country	:	US
Telephone Number	:	254-756-7770
Fax Number	:	254-757-2007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	04/17/2015

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