Sugianto, Jessica Zarah
Sugianto, Jessica Zarah is an individual health care provider with primary practice located at 6655 N Macarthur Blvd , Irving TX 75039-2443. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Sugianto, Jessica Zarah can be contacted via phone (214) 277-8700.Contact Information
Primary practice address
6655 N Macarthur Blvd
Irving TX 75039-2443
Phone: (214) 277-8700
Fax: (214) 596-7484
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | Q5932 | Texas |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | Q5932 | Texas |
Profile Details
NPI number | 1437389277 |
---|---|
LBN Legal business name | Sugianto, Jessica Zarah |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2009 |
Last updated | Mar 21st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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