| My Vita Women S Wellness Center Pllc | |
|
4660 Sweetwater Blvd Ste 150 Sugar Land TX 77479-3164 | |
| (718) 362-1411 | |
| (718) 362-1651 |
| Full Name | My Vita Women S Wellness Center Pllc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 4660 Sweetwater Blvd Ste 150, Sugar Land, Texas |
| Authorized Official Name and Position | Marcel D Thompson (PROVIDER/OWNER) |
| Authorized Official Contact | 7136231414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Vita Women S Wellness Center Pllc 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1411 | My Vita Women S Wellness Center Pllc 4660 Sweetwater Blvd Ste 150 Sugar Land TX 77479-3164 Ph: (718) 362-1411 |
| NPI Number | 1366913980 |
|---|---|
| Provider Enumeration Date | 12/07/2018 |
| Last Update Date | 07/11/2025 |
| Medicare PECOS PAC ID | 1052651908 |
|---|---|
| Medicare Enrollment ID | O20190313000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366913980 | NPI | - | NPPES |
| 353338203 | Medicaid | TX |
| Provider Name | Marcel D Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265593875 PECOS PAC ID: 3678674439 Enrollment ID: I20070723000866 |
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