Welcome to Through Time Primary Care

A membership based direct primary care practice

We are Dr. Rajavi Shah and Dr. David Washington, board certified physicians who believe primary care should feel personal, thoughtful, and truly supportive.

Dr. Shah cares for adults 18 and older as a board-certified internal medicine physician, bringing empathy, careful listening, and thoughtfulness to her visits. She strives to create true connections and believes that the doctor-patient relationship is at the core of prevention, wellness, detection and treatment of medical problems. 

Dr. Washington is fellowship-trained and board-certified in Internal Medicine, Pediatrics, and Lifestyle Medicine. He cares for infants, children, teens, and adults of all ages with a focus on prevention, lifelong wellness, and helping patients achieve their greatest health potential.

Together, we care for individuals and families across every stage of life, combining nearly 30 years of medical expertise with a down-to-earth, human approach. We believe the best care grows from strong relationships—where you feel known, heard, and comfortable asking questions.

Dr. Rajavi Shah

board-certified in internal medicine

Dr. David Washington

Board-certified in Internal Medicine, pediatrics, and Lifestyle Medicine

We are a direct primary care clinic located in the Clear Lake Area of Southeast Houston, TX

Located at 18333 Egret Bay Blvd, Suite 111, Houston, TX 77058

We are dedicated to our patients and want to provide high-quality, personalized healthcare, including preventive visits, urgent visits and chronic care management. We will always prioritize you and listen to your concerns.

Our goal isn’t just to help you stay healthy today—it’s to work alongside you to help build a healthier, fuller life for years to come. Whatever questions or issues come up, we’re here to listen, guide, and support you along the way.

Imagine this…

  • You text your doctor a question and hear back the same day.

  • You never feel rushed—your time actually feels respected and valued.

  • Your doctor knows you—your story, your family, your goals.

  • When illness comes up, you’re seen the same day—without the chaos of urgent care or the ER.

  • You get more done, more clarity, and more support in a single visit–maximizing YOUR time

  • And when you have questions—about your health or what you’re seeing online—you have direct access to someone you trust and who KNOWS YOU.

Better Health. Through Time.

Usual Primary Care vs Through Time Primary Care
7-10 min Visits 30-60+ min Visits
Weeks to Get In Same or Next Day
Call Centers Direct Access
Different Doctors Your Doctor, Every Visit
Insurance-Driven Patient-Focused
Surprise Bills Simple Membership
Rushed & Impersonal Personal & Caring

Through TIME PRIMARY CARE

DIRECT PRIMARY CARE SERVING THE GREATER CLEAR LAKE AREA OF SOUTHEAST HOUSTON

Through TIME PRIMARY CARE ∙ DIRECT PRIMARY CARE SERVING THE GREATER CLEAR LAKE AREA OF SOUTHEAST HOUSTON ∙

Why Choose Through Time Primary Care?

We believe visits should not feel rushed, and that every person deserves care that is thoughtful, personal, and built on genuine connection.

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More Time With Your Doctor

Visits that are longer, unrushed, and focused on you.

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Direct Access When You Need It

Call, text, or email your physician and medical team—no barriers.

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Prevention-Focused Approach

We help you stay healthy—not just treat illness.

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Care for the Whole Family

From children to adults, all in one place.

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A Relationship You Can Trust

Consistent, personalized care from a physician who knows you.

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Simple, Transparent Pricing

One monthly membership. No surprise bills.

HOW WE CAN HELP

Our Services

We offer personalized, relationship-based primary care designed to prevent illness, manage chronic conditions, and support the health of every member of your family—at every stage of life.

Patients love Through time primary care

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  • "Dr. Washington is literally the most amazing doctor I have ever been to or met in my life."

    He’s patient, kind, compassionate, understanding, nonjudgmental, insanely brilliant, and he never makes you feel rushed or unheard.

    He’s not only my (38yo F) physician, but my boys’ (3 & 5yo) pediatrician as well since they were born. He’s helped me through numerous diagnoses and health issues for myself, helped me with both my sons’ autism diagnoses, given me countless recommendations for resources to help us further, taken the time to answer EVERY question and message I send him (I ask a lot of questions lol) and never once made me feel anything but supported and seen. My quality of life has improved exponentially as a direct result of his care and passion for helping his patients.

    He's an amazing human and practicing medicine is his true calling. I’ve recommended countless friends and family to him when they were frustrated by their own doctor. I have unending trust in Dr. Washington and I’m so grateful we found him as our doctor. One of a kind for sure!

    —38 yo female patient and mother of 2 patients

  • "100% recommend Dr. Rajavi Shah."

    She was kind, authentic, listened well, confident in her knowledge and diagnosis, and loves what she does. I honestly couldn’t ask for more in a doctor.

    -44 year old female patient

  • "Dr. Washington is a wonderful physician"

    Had my new patient appointment recently and he was very thorough and a great listener. Highly recommend.

    — 60 year old female patient

  • "Dr. Rajavi Shah was absolutely wonderful. She was extremely kind, thoughtful, and truly listened to everything I shared. "

    Her suggestions were insightful and helpful, and I never felt rushed. I really enjoyed my visit and felt genuinely cared for. Highly recommend!

    58 year old male patient

  • "Dr. David M Washington is the best physician that I have ever had and I'm 66 yrs old"

    He tells you what you need to know about your health and if something is wrong, he will tell you how to fix it, it doesn't get any better than Dr. Washington. He truly cares about his patients.

    —66 year old female patient

  • "She addressed all my issues and spent over half an hour with me."

    Dr. Shah is an amazing physician. She’s thorough, compassionate and an excellent listener. I would highly recommend Dr. Shah.

    — B.S. female patient

  • "Dr. Washington is truly an absolute joy and a phenomenal physician"

    He exudes joy and kindness and my babies ADORE him!! As a first time mom, I spent a great deal of time reading reviews and making a decision on the best pediatrician for my babies. I can definitively say I made the perfect and best decision for my children. I firmly believe Dr. Washington was put on this earth to be a family care physician. In addition to being a wonderful human, He is professional, thoughtful, courteous and very thorough with all exams, questions and concerns. He has never once made us feel like we are just another number in a system, or like he has another patient to see. I hope if you’re reading this, you’re lucky enough to have him as your provider as well. <3 1000/5 stars :)

    -First-time mother of two

  • "She and her staff are very knowledgeable and have provide great service."

    My experience with Dr. Shah was extremely positive. Very attentive to your needs. I highly recommend her.

    — C.R. female patient

  • "Dr. Washington has impeccable bed side manner!"

    He listens to your concerns and takes his time. He also notifies you promptly with results and responds quickly to MyChart messages! Couldn’t ask for a better physician for me and my husband!

    —40 year old female patient

  • "She was very personable, thorough and you can tell she wants to help."

    I switched to Dr. Shah from another practice, and I am so glad I did.

    — C.T. female patient

  • "Dr. Washington is extremely friendly"

    He showed great concern for me and my health. He is very informative, and answers any questions thoroughly. I’m very glad he is my Physician.

    —60 year old male patient

  • "I had a great experience with Dr. Shah. "

    She was so nice and helpful and open about the different medications I could use with the generic versions that were comparable to what I had while saving me money. I would definitely choose to work with her again.

    34 year old male patient

  • "Dr. Washington is amazing!"

    He is really great at listening to my concerns and partnering with me to develop the best approach for accomplishing my health goals. He is compassionate, optimistic and great at explaining things in ways that are easy to understand.

    40 year old male patient

  • "Dr. Shah is a very compassionate and motivating physician."

    She has helped me tremendously in addressing my depression, anxiety and weight loss. If you’re looking for a physician to guide you on any of these journeys, I highly recommend her.

    -60 year old female patient

  • "Dr. Washington is an awesome doctor."

    I have been a patient of his for the last two years and really appreciate his thoroughness, thoughtfulness, and his concern for my wellbeing. His approach to patent care is spot on and he even makes calls to check in on your progress.

    I highly recommend Dr. Washington to anyone looking for excellent care.

    - long time male patient in his 60s

  • "Dr. Shah is everything I was seeking in a PCP."

    She is friendly, knowledgeable and genuine in her concern for my well-being. I’d highly recommend her to anyone looking for a wonderful doctor.

    M.I. female patient

  • "Dr Washington is an amazing doctor."

    He is very knowledgable and takes his time to listen. He is a great person with a great heart! We have 3 generations in our family that see him. We highly recommend him!

    —member of a multi-generational patient family

  • "Dr. Shah was extremely helpful."

    She answered questions, gave more insight than anyone that we have seen in person so far, and actually took the time to listen to our concerns. With her help, I will be getting well soon with more hope than before.

    —34 year old male patient

  • "Best Dr you will ever find!"

    Dr Washington is the most compassionate, understanding doctor I have ever met. He listens and makes sure to make you feel at ease, he explains every thoroughly. I never feel rushed or intimidated as in the past with other doctors. This is his true calling in life!

    —long time female patient

  • "Dr. Shah was an amazing doctor for me, genuinely listened to my concerns and helped me find the best solution. "

    I recommend her to everyone as she was very personable, kind, and well educated. Thank you, Dr. Shah!

    —22 year old female patient

  • "Highly recommend Dr. David Washington."

    He is exceptional, IM and Pediatric doctor. He is responding to all inquiry/messages in a timely manner. He is taking care of us very well, specially with my kids.

    —40 year old patient and father of 2 patients

  • "Dr. Shah was very professional with awesome / terrific / vibrant personality."

    She was very thorough with her questions and yet very patient. I will love to visit with Dr. Shah anytime in the future. I wish her continued success in her practice.

    -67 year old patient

Better Health. Through Time.

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If you have questions, please contact us!