Individual
INGRAM DORANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT (ASCP)
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 794-7333
Mailing address
7675 PHOENIX DR, 1004, HOUSTON, TX 77030-4700
(713) 795-5991
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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