Provider Demographics
NPI:1902609464
Name:JACKSON-ARINZE, JOANNA (MSA DEGREE)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:JACKSON-ARINZE
Suffix:
Gender:
Credentials:MSA DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20202 POCO CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-2317
Mailing Address - Country:US
Mailing Address - Phone:346-328-3652
Mailing Address - Fax:
Practice Address - Street 1:350 N SAM HOUSTON PKWY E STE B118
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3315
Practice Address - Country:US
Practice Address - Phone:346-328-3652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory