
Mid Cities Direct Primary Care
Quick Facts
| Membership Price Range | Primary Care: $60/mo (age 2-18), $100/mo (age 19-69), $110/mo (age 70+), $150 one-time join fee (individual), $250 one-time join fee (family) | Weight Loss: $70/mo, $100 join fee | HRT: $85/mo, $100 enrollment fee |
| Practice Type | Direct Primary Care |
| Location | Grapevine, mid-cities area, Weatherford |
| Doctors | Kiana Clem D.O., Family Medicine, Kara Farley M.D., Family Medicine, James Terry M.D., Family Medicine |
| Year Founded | 2018 |
| Telehealth Type | Video visits and telehealth consultations |
| Housecalls | Yes |
| Telehealth Available | Yes |
About
Mid Cities Direct Primary Care is located in Grapevine, TX.
Dr. Kara Farley and Dr. Kiana Clem lead a team built on relationship-based family medicine. Dr. James Terry founded the practice in 2018, drawing on over three decades of experience in the Mid-Cities area. He retired in 2023, and the practice continues his standard of thorough, compassionate care.
The practice serves patients and families throughout Grapevine and the broader mid-cities area, with some members accessing care remotely from as far as Weatherford. Dr. Farley and Dr. Clem cover a wide clinical range, including women's health, hormone replacement therapy, medical weight loss, diabetes, mental health, and preventive care. On-site, the team performs phlebotomy, ECG, and spirometry. Same-day visits, telehealth, and house calls are all available. Members pay a single monthly fee with no insurance billing, no co-pays, and no long-term contracts required.
Details
Address
1501 Hughes Road, Ste 103, Grapevine, TX 76051
Phone
(817) 284-9875Website
Visit websiteMembership
$100/monthly
Membership Details
Primary care membership includes all primary care and preventative disease management, annual visits and acute visits. Weight loss membership includes medication management, monthly visits, lifestyle and diet management. HRT membership includes medication management, personalized treatment plan, comprehensive hormone labs, and routine follow-up appointments. No insurance billing; membership fee covers routine wellness care, illnesses, and management of chronic medical conditions.
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Frequently Asked Questions
Primary care membership runs $100 per month for adults ages 19 to 69, and $110 per month for adults 70 and older. Children ages 2 to 18 pay $60 per month. A one-time enrollment fee of $150 applies per individual, or $250 for a family. The practice also offers family plans, a weight loss membership at $70 per month, and a separate HRT membership. No insurance billing applies to any membership tier.
The monthly membership covers all primary care and preventive disease management, including annual wellness visits and acute illness visits. The practice does not bill insurance or charge co-pays or deductibles. Small additional charges may apply for materials used in certain procedures.
Yes. Mid Cities Direct Primary Care offers same-day appointments, including same-day telehealth consultations. Members can reach the practice quickly for urgent needs without waiting for a scheduled slot.
The practice offers both telehealth visits and in-home house calls. Telehealth works well for members who travel, including patients who have received test updates while traveling internationally. House calls are available through Blue Ocean Health Services for situations where an in-office visit is not practical.
The practice does not accept insurance or work with third-party payers. Members pay a flat monthly fee that covers routine wellness, illness care, and chronic condition management. The practice can provide invoices that members may submit to their own insurance company independently.
The practice performs phlebotomy, ECG, and spirometry on-site. Clinical services also include immunizations, birth control management, lactation consulting, BOTOX cosmetic and medical BOTOX, and comprehensive management of chronic conditions such as diabetes and high blood pressure.
Yes. The weight loss membership includes medication management, monthly visits, and lifestyle and diet guidance for $70 per month, with a $100 program enrollment fee. The HRT membership covers medication management, a personalized treatment plan, comprehensive hormone labs, and routine follow-up appointments. Both programs are available as standalone memberships or as add-ons to a primary care membership.
No. Mid Cities Direct Primary Care does not require long-term contracts. Members can enroll without a multi-year commitment. The practice accepts payment by cash, check, or credit card.
The practice primarily serves patients and families in Grapevine and the surrounding mid-cities area. Telehealth extends that reach further, with some members accessing care remotely from as far as Weatherford.
Practice last updated March 21, 2026






