MY VITA WOMEN S WELLNESS CENTER PLLC NPI 1366913980

NPI Information

NPI: 1366913980
Provider Name: MY VITA WOMEN S WELLNESS CENTER PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
:
CLIA Number: 45D2145739
Address: 4660 SWEETWATER BLVD STE 150
SUGAR LAND, TX
ZIP 77479
Phone: (713) 340-9005

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NPI Details

MY VITA WOMEN S WELLNESS CENTER PLLC is an obstetrics gynecology in Sugar Land, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MY VITA WOMEN S WELLNESS CENTER PLLC NPI is 1366913980. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4660 SWEETWATER BLVD STE 150
SUGAR LAND, TX
ZIP 77479-164
Phone: (713) 340-9005
Fax: (713) 324-0550

The provider's authorized official is Marcel D Thompson .
The authorized official title is Provider/owner and has the following contact phone number (713) 623-1414.

The CLIA number assigned to this NPI record is 45D2145739 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2018 and was last updated on 10/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261Q00000X	Clinic/Center		No
2	261QP2300X	Clinic/Center	Primary Care	No
3	207V00000X	Obstetrics & Gynecology		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	353338203	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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