Healthcare Provider Details

I. General information

NPI: 1457973745
Provider Name (Legal Business Name): ASSEL ALDAJEH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 PROFESSIONAL PARK DR
WEBSTER TX
77598-4127
US

IV. Provider business mailing address

PO BOX 57845
WEBSTER TX
77598-7845
US

V. Phone/Fax

Practice location:
  • Phone: 281-332-3503
  • Fax: 281-332-3506
Mailing address:
  • Phone: 281-332-3503
  • Fax: 281-332-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberU8933
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number138077
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: