MEDICARE: MRS. QUYNH-GIAO LY SARTOR 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	S0035	TX

General Provider Information

NPI Number	:	1871971374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. QUYNH-GIAO LY SARTOR MD

Provider Business Mailing Address
First Line	:	1740 W 27TH ST STE 315
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1437
Country	:	US
Telephone Number	:	713-868-5861
Fax Number	:	713-868-6064

Provider Business Practice Location Address
First Line	:	1740 W 27TH ST STE 315
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1437
Country	:	US
Telephone Number	:	713-868-5861
Fax Number	:	713-868-6064

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

Provider Enumeration Date	:	05/15/2015
Last Update Date	:	04/28/2025

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