Provider Demographics
NPI:1710345707
Name:JAMES, IRENA LORRAINE (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:IRENA
Middle Name:LORRAINE
Last Name:JAMES
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:IRENA
Other - Middle Name:
Other - Last Name:HUBBARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4830 WILSON ROAD SUITE 300
Mailing Address - Street 2:PMB. 231
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-6116
Mailing Address - Country:US
Mailing Address - Phone:832-815-8003
Mailing Address - Fax:
Practice Address - Street 1:15014 SUNSET VILLA CT
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-6116
Practice Address - Country:US
Practice Address - Phone:832-815-8003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy