Individual
DR. LASHONDA MICHILL JACKSON-DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DM, MBA, CPT, CIVT
Contact information
Practice address
11811 EAST FWY STE 325, HOUSTON, TX 77029-1982
(832) 384-6792
(877) 384-2805
Mailing address
11722 CABOT HILL ST, HOUSTON, TX 77044-5500
(713) 791-2806
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
N24104580
TX
246RP1900X
Phlebotomy Technician
Primary
N24104580
TX
251F00000X
Home Infusion Agency
41B020231215
TX
291U00000X
Clinical Medical Laboratory
45D2301278
TX
Other
Enumeration date
03/05/2024
Last updated
06/20/2024
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