Provider Demographics
NPI:1811656721
Name:MEDICAL CITY HEALTHCARE PLLC
Entity type:Organization
Organization Name:MEDICAL CITY HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN - OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLAVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:346-433-1579
Mailing Address - Street 1:4220 CARTWRIGHT RD STE 303
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5309
Mailing Address - Country:US
Mailing Address - Phone:346-433-1579
Mailing Address - Fax:346-585-5076
Practice Address - Street 1:4220 CARTWRIGHT RD STE 303
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5309
Practice Address - Country:US
Practice Address - Phone:346-433-1579
Practice Address - Fax:346-585-5076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty