Telehealth Chronic Care in Houston, TX
Cash-pay primary care for the conditions that need long-term attention.
Hypertension, type 2 diabetes, cholesterol and lipid management, thyroid. Ongoing telehealth care from Joy Mbama, NP, for the conditions that don't need a specialist but do need someone paying attention. Transparent cash-pay pricing, no insurance hassles.
Four common conditions, one provider.
The same visit covers any of these. We treat the whole person, not the diagnosis in isolation.
Hypertension
Blood pressure management, medication adjustment, lifestyle protocols. We work with home monitoring data and labs to dial in the right treatment plan for you.
Type 2 Diabetes
A1c management, metformin and GLP-1 prescribing, glucose monitoring, lifestyle support. Comprehensive care from a provider who has time to actually look at your numbers.
Cholesterol & Lipids
LDL, HDL, triglycerides, and broader cardiovascular risk assessment. Statin and non-statin therapy, dietary protocols, and follow-up labs at appropriate intervals.
Thyroid
Hypothyroidism and hyperthyroidism management. TSH, free T4, free T3, and antibody monitoring. Therapy adjusted to your labs and your symptoms.
How chronic care actually works.
Initial visit
45 minutes. We review history, current medications, labs, and goals. If labs are needed, we order them through Quest or LabCorp.
Plan and prescribe
Joy builds a treatment plan with you. Prescriptions go to your local pharmacy and can run through your insurance there.
Follow up regularly
20-30 minute follow-ups every 3-6 months for stable conditions, more often during adjustment phases. Always with Joy directly.
Stay on track
Lab orders, refills, and quick clinical questions all run through the patient portal between visits.
Per-visit or monthly membership.
Pay per visit if you only see Joy occasionally, or join the membership if you're in an active management phase or have multiple conditions.
Which option fits your care
Per-visit pricing is the simpler choice if you're stable and check in twice a year. The membership pays off the moment you need a third visit in a month, or when you're managing two or more conditions that overlap, or during adjustment phases when more frequent check-ins help you get to a good place faster.
The membership is month-to-month with no annual lock-in.
One membership for all of it.
If you see yourself using more than one Nuovara service, Concierge Medicine gives you unlimited access to Joy across everything she does, for one flat monthly price. Same-day answers, prescription management, and no per-visit fees.
What patients often ask.
Can you replace my primary care provider?
Do you order all the labs?
How do prescriptions work?
Do I have to live in Houston to enroll?
Do you take insurance?
What is your cancellation policy?
Steady care, monthly attention.
Whether you're just starting out or have managed a condition for years, having one provider who pays attention matters. Book your first visit.