Hector Edwin Tamayo, MD

Internal Medicine - Board Certified

Dr Tamayo helps his patients in English and in Spanish.  He obtained his MD from the University of Texas Health Science Center in San Antonio where he specialized as a Doctor for Adults.  He was honored as Chief Resident of the program and served as teaching doctor for many years at University Hospital, the VA Hospital, and UT Health San Antonio.  He has volunteered on medical missions, in hurricane shelters and other community projects.  Dr Tamayo led a team of primary care providers in office-based care for many years.  He created Direct Care of Texas to free his patients from barriers in our health system that limit direct communication and care from their physician.  He enjoys surprising his patients with unusual access and convenience.

Michael Gomez, DNP, FNP-C

Doctor of Nursing Practice

Family Nurse Practitioner - Certified

Dr Michael Gomez, DNP, FNP-C brings over 10 years of distinguished experience in primary care. On a foundation of discipline and service-mindedness from his Air Force duty, Dr Gomez cultivated his early medical experience in nursing in El Paso. He honed his skills as a primary care provider training as a Family Nurse Practitioner and proceeded to a doctorate at the University of Incarnate Word in San Antonio. He has helped patients of all ages in primary care settings managing acute and chronic medical conditions. In addition to mental health experience, he has also volunteered in community outreach programs.  We're grateful to have Dr Gomez serve our patients at Direct Care of Texas.

Ann Tamayo, RN, MBA

Aesthetics Nurse

With over 16 years of experience in some of the most demanding areas of healthcare — including ICU, Emergency Room, Labor & Delivery, and Cardiac Clinic settings, Ann Yowell, RN, brings a unique blend of critical care expertise and compassionate patient-centered care to the world of medical aesthetics.  Her extensive clinical background sources her confidence in procedural skills, safety, and patient trust — all of which are the foundation of her aesthetics practice. As an aesthetics nurse, she combines medical precision with an artistic eye to deliver natural, confident results through treatments such as neurotoxins (aka Botox), dermal fillers, and skin rejuvenation.  Known for her calm, reassuring presence and meticulous technique, her mission is simple: to help every client feel like the best version of themselves — safely, subtly, and beautifully.