MEDICARE: SEBASTIAN FARO

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	G5898	TX

General Provider Information

NPI Number	:	1992975767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEBASTIAN FARO

Provider Business Mailing Address
First Line	:	7400 FANNIN ST STE 840
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1934
Country	:	US
Telephone Number	:	713-799-9091
Fax Number	:	713-799-9028

Provider Business Practice Location Address
First Line	:	7400 FANNIN ST STE 840
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1934
Country	:	US
Telephone Number	:	713-799-9091
Fax Number	:	713-799-9028

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SEBASTIAN FARO
Credential	:	MD
Telephone Number	:	713-799-9091

Provider Enumeration Date	:	03/07/2008
Last Update Date	:	03/07/2008

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