Individual provider · NPI-1
Martesha Jessie
Pediatrics, Developmental - Behavioral Pediatrics · Cypress, TX
NPI number1467229211
StatusActive
Last updated in NPPESMar 18, 2025
Details
- NPI
- 1467229211
- Entity type
- Individual (NPI-1)
- Name
- Martesha Jessie
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Mar 18, 2025
- Last updated
- Mar 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | RBT-22-228888 | TX | Yes |
Practice location
16712 Huffmeister Rd Bldg 500Cypress, TX 77429-8050
Phone 281-746-6037
Mailing address
24323 Palo Dura DrHockley, TX 77447-7674
Phone 713-391-4119
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