Provider Demographics
NPI:1801982152
Name:SEIRAFI, HOMAYUN (MD)
Entity type:Individual
Prefix:DR
First Name:HOMAYUN
Middle Name:
Last Name:SEIRAFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 WYCON DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8957
Mailing Address - Country:US
Mailing Address - Phone:254-756-7770
Mailing Address - Fax:254-757-2007
Practice Address - Street 1:2410 WYCON DR
Practice Address - Street 2:SUITE 204
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8957
Practice Address - Country:US
Practice Address - Phone:254-756-7770
Practice Address - Fax:254-757-2007
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2837207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114420602Medicaid
B26328Medicare UPIN
TX114420602Medicaid