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Organization

MAEVILLE PEDIATRICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA M SISSA MD (PRESIDENT)
(832) 582-7146
Entity
Organization

Contact information

Practice address
8540 BROADWAY STREET, STE 205, PEARLAND, TX 77584-7716
(832) 582-7146
(832) 962-8154
Mailing address
8540 BROADWAY STREET, STE 205, PEARLAND, TX 77584-7716
(832) 582-7146
(832) 962-8154

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
12/23/2021
Last updated
09/15/2025
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