Individual
JESSICA ZARAH SUGIANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5213 VIRGINIA PKWY, MCKINNEY, TX 75071-5655
(972) 390-9002
(972) 767-4363
Mailing address
1790 N STONEBRIDGE DR, MCKINNEY, TX 75071-7437
(972) 390-9002
(214) 491-3777
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
Q5932
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Q5932
TX
Other
Enumeration date
07/14/2009
Last updated
12/08/2025
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