Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miranda C Jackson-Green

Individual provider Medical Laboratory Technician · NPI 1215592225

Miranda C Jackson-Green is a Medical Laboratory Technician in Houston, Texas. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

16318 Espinosa Dr
Houston, TX 77083-2812
Phone: (346) 779-9965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence CLP.204021-PHL (LA)
Medical Laboratory Technician Taxonomy 246RM2200X

Record details

NPI number1215592225
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2019
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023
Mailing address18250 Eton Ridge Ct, Richmond, TX 77407-2297

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