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.

Sonia Efremov

Medical Assistant  

Sonia trained as an emergency medical technician in California, where she provided medical services in firefighting and emergency response settings.  In addition to extensive people skills and her joy to help others, she has provided countless hours of service for community projects that she is passionate for.  We are thrilled to count on her enthusiasm in serving our patients and supporting us at Direct Care of Texas. 

Bryanna Bermea-Cantu

Medical Assistant  

Bryanna is fully bilingual in English and Spanish having undergone medical training in Mexico.  While she works on certification for practice in the United States, she is lending her assistance with administrative and clinical tasks for patient care at our office.  We welcome her cheerfulness and helpful nature as she supports our patients and staff at Direct Care of Texas.

Amanda Gomez

Medical Assistant  

Amanda brings clinical experience in previous primary care settings where she has assisted both patients and doctors in delivering care.  She also contributed her skills early in the COVID pandemic to serve in vaccination clinics for the public.  She brings prior college education in biology for the health sciences and is currently pursuing her training as a nurse in San Antonio.   We are happy to support her as she advances to her next step in the medical field and appreciate her warm and friendly support for our patients at Direct Care of Texas.