MEDICARE: EMILY LINA GUO 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	207N00000X	Dermatology Physician	T1086	TX

General Provider Information

NPI Number	:	1861921280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY LINA GUO MD

Provider Business Mailing Address
First Line	:	1802 BINZ ST STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1802 BINZ ST STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7208
Country	:	US
Telephone Number	:	713-900-3900
Fax Number	:

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

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	10/28/2025

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