Individual provider · Type 1 NPI

Ingram Dorann Jackson, MT (ASCP)

Medical Technologist · Houston, TX

NPI number 1205941697 Active

Practice location

2002 Holcombe Blvd
Houston, TX 77030-4211

Mailing address

7675 Phoenix Dr, 1004
Houston, TX 77030-4700

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist Primary 246QM0706XNone listed

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About NPI 1205941697

Ingram Dorann Jackson, MT (ASCP)'s National Provider Identifier is 1205941697, issued on Aug 19, 2006. The primary taxonomy on file is Medical Technologist (246QM0706X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.