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Individual

MARTHA MAE SISSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8540 BROADWAY ST STE 205, PEARLAND, TX 77584-7710
(832) 582-7146
(832) 962-8154
Mailing address
8540 BROADWAY ST STE 205, PEARLAND, TX 77584-7710
(832) 582-7146
(832) 962-8154

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P7229
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790929040
BCBS OF TEXAS
TX
01
H08QY07301
BCBS OF TEXAS
TX
Enumeration date
04/29/2009
Last updated
09/15/2025
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