# AJAY AGGARWAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730628116
- **Authorized official:** AJAY AGGARWAL MD (OWNER/PROVIDER)
- **Authorized official phone:** (979) 245-7246

## Contact information

- **Practice address:** 208 OAK DR S STE 500, LAKE JACKSON, TX 77566-5789
- **Practice address phone:** (979) 245-7246
- **Practice address fax:** (979) 245-2415
- **Mailing address:** 1002 ALKIRE LAKE DR, SUGAR LAND, TX 77478-3408
- **Mailing address phone:** (979) 245-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/17/2017
- **Last updated:** 11/14/2024