Provider Demographics
NPI:1396935391
Name:SAUCIER, JESSICA M (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:M
Last Name:SAUCIER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2701 SUNSET RIDGE DR
Mailing Address - Street 2:404
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-0005
Mailing Address - Country:US
Mailing Address - Phone:469-377-1700
Mailing Address - Fax:469-377-1709
Practice Address - Street 1:2701 SUNSET RIDGE DR
Practice Address - Street 2:404
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-0005
Practice Address - Country:US
Practice Address - Phone:469-377-1700
Practice Address - Fax:469-377-1709
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2015-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP2921207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB157085Medicare PIN