Active NPI
Abdulazeez Seriki
- Psychiatry Physician
- Waco, TX
National Provider Identifier
1780443622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1071337
- Practice address
- 1001 W Highway 6
Suite 300
Waco, TX 76712 - Phone
- (254) 227-6322
- NPI assigned
- Mar 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1071337 | TX | Primary |
Addresses
Primary practice location
1001 W Highway 6
Suite 300
Waco, TX 76712
Mailing address
4817 N O Connor Rd Apt 234
Irving, TX 75062-2207
Phone (608) 658-6221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071337 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1780443622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4817 N O CONNOR RD APT 234",
"city": "IRVING",
"state": "TX",
"postal_code": "750622207",
"telephone_number": "608-658-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W HIGHWAY 6",
"address_2": "SUITE 300",
"city": "WACO",
"state": "TX",
"postal_code": "76712",
"telephone_number": "254-227-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERIKI",
"first_name": "ABDULAZEEZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "1071337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.