Provider Demographics
NPI:1740541010
Name:FOWLER, AJA JENELLE (MD)
Entity type:Individual
Prefix:DR
First Name:AJA
Middle Name:JENELLE
Last Name:FOWLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11800 ASTORIA BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6041
Mailing Address - Country:US
Mailing Address - Phone:281-929-4400
Mailing Address - Fax:281-929-6345
Practice Address - Street 1:11800 ASTORIA BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6041
Practice Address - Country:US
Practice Address - Phone:281-929-4400
Practice Address - Fax:281-929-6345
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2019-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP18632080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine