MEDICARE: MEDICAL CITY HEALTHCARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1811656721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL CITY HEALTHCARE PLLC

Provider Business Mailing Address
First Line	:	4220 CARTWRIGHT RD STE 303
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5309
Country	:	US
Telephone Number	:	346-433-1579
Fax Number	:	346-585-5076

Provider Business Practice Location Address
First Line	:	4220 CARTWRIGHT RD STE 303
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5309
Country	:	US
Telephone Number	:	346-433-1579
Fax Number	:	346-585-5076

Authorized Official
Title or Position	:	PHYSICIAN - OWNER
Name	:	FLAVIA THOMAS
Credential	:	DO
Telephone Number	:	346-433-1579

Provider Enumeration Date	:	12/08/2021
Last Update Date	:	05/21/2026

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