Surprisingly Personal Healthcare
“I went to medical school to make people’s lives better. Not so I could work for an insurance company.”
Surprisingly Convenient Healthcare
We are fixing healthcare
Same-Day Appointments and Response Times
Patients often wait 40+ minutes for just 7 minutes with their doctor. At First Primary Care, members get as much time as they need with direct access to their care team.
Your Dedicated Medical Home
We like to call ourselves your “medical home” because we’re here to coordinate and support all aspects of your care. Most routine medical needs can be handled in-person or virtually. We also reduce specialist referrals, and your dedicated care team guides you through the rest.
Knowing What Your Care Costs
Traditional healthcare often comes with $25–$50 co-pays and 20% co-insurance. With First Primary Care, it’s typically $0, and you’ll know any costs upfront.
No Patient Quotas
Traditional primary care providers often manage panels of 1,500–2,500 patients, which can limit each visit to just a few minutes. Our team isn’t driven by quotas. We prioritize quality and relationships over volume. With a smaller patient panel, your care team has the time to truly listen, understand your needs, and give you the attention you deserve.
Surprisingly Personal Healthcare
Meet your team of medical professionals
Our team of board-certified physicians is trained at top U.S. medical schools.
The Benefit of An Extensive Team of Providers with Different Areas of Expertise
Even though you have a lead clinician, our full care team brings together clinicians with diverse expertise. Your lead clinician can consult any team member to ensure you get the best guidance and care.
Virtual Care Team
Distance doesn’t have to mean disconnected. Our Virtual Care Team ensures your medical home is always within reach.
Texas Care Teams
Additional Care Teams




























Portland, OR



Care Team Bios
Virtual | Portland, OR
Geetinder Goyal, MD
Dr. Goyal attended medical school at the Government Medical College in Chandigarh, India. Following that, he completed his residency in Internal Medicine at the University of Texas Medical Branch – Galveston. Dr. Goyal then went on to Yale School of Medicine in New Haven, CT where his fellowship was in Pulmonary Medicine and Critical Care Medicine.
In addition to his work at First Primary Care, Dr. Goyal serves as the President of the Houston Chapter of the Free Market Medical Association.
When he is not caring for his patients, Dr. Goyal is an avid runner, loves watching sports, and spending time with his wife, Dr. Le Vo, and their two young daughters.
– Lia Bachrach, Houston TX

THE SECRET WEAPON
Nimble | Unassuming | Independent |
Reticent | Autonomously Creative
HOW THE WORLD SEES HIM
- He has a creative mind and to produce agile solutions even when under high pressure.
- Unhindered by traditional ways of working, he comes up with his own ideas of how things can be done differently.
- He is creative in a non-flashy way, preferring to do his work quietly.
- He enjoys working independently. He doesn’t boast about his achievements. But can produce great inventions, creative ideas, and new product designs.
- He makes great contributions to the company’s performance, but does so in an unassuming manner.
- He’s the perfect combination of analytical and creative skills.
- He communicates without fuss. You provide rational arguments for his ideas.
Cassandra Wertz, MD
Since her earliest memories in kindergarten, Dr. Wertz has always known her calling to be a physician. She went on to become a graduate of UT Austin, UT Health Science Center at San Antonio School of Medicine and trained at Baylor College of Medicine.
Outside the clinic, you can find her alongside her high school sweetheart husband and spunky daughter, Sophia, probably walking their two dogs. They keep busy riding bikes, playing games, attending plays, musicals, and Astros games. After all that, Dr. Wertz makes time for watercolor painting (although allegedly not very good at it), cheering on the San Antonio Spurs, and preparing her favorite snack—a bagel loaded with lots (and lots!) of cream cheese.
Now accepting new patients, Dr. Wertz loves the process of getting to know people on a deeper level and helping them navigate the problems that arise through life.
Dr. Wertz is an outstanding doctor, she takes the time to really listen to what is going on and offers many different approaches! This is the first time I actually feel comfortable talking with a doctor and it is a breathe of fresh air to find a physician who is not only funny but truly cares about her patients.
– Amber James

THE AUTHENTIC
Trust + Passion
Approachable | Dependable | Trustworthy
Agreeable | Benevolent
- She is a peaceful team player, and easy to talk to.
- Cassandra gives everyone a listening ear, and keeps an open-door policy.
- Her pleasant personality builds strong emotional connections.
- Cassandra earns the loyalty of people by being dependable, genuine, and generous.
- She usually speaks in a direct manner, but she rarely raises her voice.
- Cassandra’s management style is supportive and engaging.
Watch her personality video>
Derek He, DO
– Family Medicine
Derek’s interest in teaching and education began early on in his academic journey during high school and college, but changes in the education field led him to pursue medicine instead. He found the physician-patient dynamic intriguing and saw it as an opportunity to educate patients on basic health literacy. As Derek states, “I have often seen myself as an educator first and a clinician second because for me the core of primary care is sharing knowledge to empower people to make informed decisions about their health.”
When not working, Derek enjoys exploring new culinary experiences with his wife, as well as traveling and immersing himself in different cultures. He also has a passion for tinkering with electronics and has been an avid video gamer since childhood, although less so in adulthood.
The best place for health care! Affordable and Dr. He is the best. Would definitely recommend if you are looking for insurance or a reliable office for care.
– Erin Timmerberg

THE ANCHOR
Protective | Purposeful | Analytical | Calm | Steady
- He has earned a good reputation for his solid thinking. Pragmatic and intelligent, he can contribute to any company’s success.
- In moments of crisis, his peers look to him for advice. His co-workers value his loyalty and down-to-earth attitude.
- Usually quiet, he has a distinct advantage because he keeps his cool even under high pressure.
- He is able to come up with a workable solution when everyone else gets agitated.
- He communicates his recommendations with solid, rational arguments. Others
depend on his well-considered advice. - His peers appreciate his sensible solutions, and his bosses welcome his intelligence and analytical approach.
- His slightly subdued demeanor doesn’t mean he is laid-back. He just thinks before he speaks.
Jessica Glick, DO
Dr. Glick was born and raised in Plano, TX. She completed her bachelor’s degree in Biology and Environmental Studies at Brandeis University (Waltham, MA) and returned home to complete her medical degree at the University of North Texas Health Science Center’s Texas College of Osteopathic Medicine (Fort Worth, TX). She was thrilled to match at Conroe Family Medicine Residency’s program because it provided broad spectrum medical education. Prior to joining First Primary Care, Dr. Glick has practiced in both private practice and hospital system-based settings where she has gained a depth of experience in patient care.
In her free time, Dr. Glick enjoys spending time with her daughter, son, husband, extended family, and friends. Her hobbies include photography, baking, enjoying live music, and camping/hiking. She is also passionate about advocating for the field of family medicine and is an active member of the Texas Academy of Family Physicians, American Academy of Family Physicians, and Texas Medical Association.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE WISE OWL
Observant | Assured | Unruffled | Nuanced | Logical
-
She carefully analyzes situations before making decisions. Even in high-pressure environments, she doesn’t feel overwhelmed.
-
Both patients and colleagues appreciate her loyalty and commitment.
- Others rely on her thoughtful advice. She is dignified, discreet, and well-informed
-
She is watchful of the details. She systematically approaches problems to find the best solutions.
Virtual | Spring Branch
Linh Hoang, DO
Dr. Hoang earned her bachelor’s degree from the University of St. Thomas in Houston and her medical degree from the University of North Texas Health Science Center. She completed her residency in Family & Community Medicine with an emphasis in underserved care at Baylor College of Medicine. As the youngest of seven siblings, she has deep roots in Houston, where she lives with her husband and two fur babies. Outside of work, she enjoys reading, snowboarding, rock climbing, and hiking.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE ARTISAN
Deliberate | Thoughtful | Flexible | Resourceful | Composer-like
-
She quickly gains the confidence of patients, co-workers, and peers thanks to her clear communication.
-
She has a clear vision on implementing her creative ideas, and you can be certain her ideas will work.
-
She enjoys creating results from challenging circumstances like designing a new product while taking a lot of constraints into account. Projects that require care and focus appeal to them.
Chi Stasio, DO
On her time off, she’ll be hard to find, but you can look somewhere between airports where she’s bound to be photographing the world. But being family-oriented, she always finds her way back home to Houston to snuggle up with her husband and beloved corgi, Ollie, in their home theater. Ask her what’s next on the to-do list, she’s always got one, and coffee with oat milk is definitely at the top of it.
Walking into this facility made me feel relaxed and calm. The staff is very pleasant. Dr. Stasio was the best. She was very attentive to my concerns, responded quickly everytime I texted through Spruce, and was very knowledgeable. She made sure all my needs were met and I had the information I needed. I recommend her and her entire team. They were all phenomenal.
– Jamillia Brown

THE MEDIATOR
Steadfast | Composed | Structured
Effectual | Vigilant
- Chi provides practical productivity.
- Even in pressure-filled situations, she keeps her cool, setting the tone for everyone else on the team.
- Before embarking on any pursuit (however big or small), Chi carefully thinks things through. This thoughtfulness guides her to correct errors (or better yet, avoid them entirely).
- She is diligent, faithful, and dependable.
- Mistakes live in fear of their fine-toothed comb! Chi sees all the moving parts that form the bigger picture and she keeps them highly organized.Watch her personality video>
Virtual | Sugar Land
Tehemeena Dhukka, FNP-C
In addition to her work as a FNP, she serves as a member of the Sigma Theta Tau International Honor Society of Nursing and the American Association of Nurse Practitioners. Whenever she’s not busy providing care (and loving it), she enjoys traveling, skiing, exercising, spending time with family and friends, and volunteering with various local organizations.
– Sehban Siddiqui, Beaumont, TX

THE COORDINATOR
Constructive | Organized | Practical
Safeguard | Tuned-In
- Tehemeena brings a practical creativity to everything she does.
- She brings a pragmatic, step-by-step approach to every project.
- She is detail-oriented, works in an ordered manner, and focuses on meeting deadlines.
- Tehemeena captivates her patients with enthusiasm and drive.
- She is practical in her approach and considers each action and how it can effect the bottom line.
- She is loyal and highly focused on the well-being of her co-workers and her patients.
- Tehemeena is a careful observer and hyper-aware of the progress made towards members health goals.
Virtual | Sugar Land | Portland, OR
Sypara Dhuka, MD
Family Medicine
Dr. Sypara Dhuka is a board-certified family medicine physician committed to providing comprehensive, patient-centered care to individuals and families across all stages of life. She is passionate about building meaningful, long-term relationships with her patients and believes that personalized care is the foundation of better health outcomes. She values the opportunity family medicine provides to care for the whole person while supporting prevention, wellness, and continuity of care. She strives to support her patients with the tools and education needed to take an active role in their health and well-being.
Born and raised in Sugar Land, Texas, she earned her Bachelor of Business Administration degree from the University of Houston. She went on to receive her Medical Degree from Texas Tech Health Sciences Center School of Medicine in Lubbock, Texas. She completed her residency at the Memorial Family Medicine Residency Program.
Outside of medicine, Dr. Dhuka enjoys traveling, exploring new restaurants, reading, and spending quality time with friends and family.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE DIPLOMAT
Trust + Prestige
Levelheaded | Subtle | Capable | Impeccable | Prudent
- Personal glory isn’t her main goal. Once committed to a team, she puts team needs above her own.
- She has a strong sense of purpose.
- She is thorough and thoughtful. She takes pride in doing her job well.
- She anticipates problems and aims to eliminate any chance for error or unpleasant surprise.
Zhaleh Amini Vaughan, MD
Zhaleh enjoys both teaching and learning from her patients, helping them to take interest and ownership of their own health. “While I have a background in scientific research, my interests switched to preventative care which caused me to pursue a specialty in Family Medicine. I am passionate about working with each of my patients to identify their main health concerns and helping them prevent others.”
Dr. Zhaleh received her MS/MD from Texas A&M and has certifications in COM, ABFM, and ABOM for residency clinic caring, including both traditional hospital-based systems and communities with limited resources.
When she’s not busy taking care of her patients, Dr. Zhaleh enjoys spending time with her three kids, traveling, baking at home, and enjoying Houston’s theatre and music scene.
Fast, friendly service! Dr. Vaughan was super knowledgeable and answered all the questions, comments, or concerns I had.
– Travis Nelson

THE ORCHESTRATOR
Attentive | Dedicated | Efficient | Open-Eyed | Vigorous
-
She cares deeply about people and works smartly to stay on track.
-
She commands attention and inspires others to reach their goals.
-
Her attitude alternates between bright optimism and pragmatic execution.
-
She provides constructive criticism, makes sure everyone’s workload is manageable and
-
often closes a meeting with a few upbeat words.
-
She has a keen understanding of people and inspire them to reach optimal results
-
She expects her team to do well, but also creates strong emotional bonds with co-workers and others.
-
Her positive approach inspires others while her pragmatism keeps projects on track.
Thi Vo, DO, MBA
– Family Medicine
Her training began at the University of Houston where she got her Bachelor of Science in Biology with a Chemistry minor. For medical school, she went to the Kansas City University of Medicine and Biosciences and obtained her Doctorate of Osteopathic Medicine. She completed her residency in family medicine at Texas A&M College of Medicine. While in medical school, Dr. Vo also obtained an MBA in Healthcare Leadership from Rockhurst University in Kansas City.
When Dr. Thi Vo isn’t practicing medicine, she is enjoying unique cuisines, playing billiards, participating in outdoor activities such as fishing and camping, and spending time with her close-knit family and her two small dogs, Sasha (Pek-a-Poo mix) and Rex (Maltese mix).
– Todd Ray, The Woodlands TX

THE MAVERICK LEADER
Pioneering | Irreverent | Artful |
Entrepreneurial | Dramatic
HOW THE WORLD SEES HER
- She leads with a bold and unconventional vision.
- Thi is unafraid to take the lead and happy to propose a new direction for her patients.
- She is always full of new ideas, and almost a little restless.
- If something starts to feel familiar, she will probably start experimenting to see whether higher goals can be achieved.
- She is independent, confident, and perhaps a little eccentric.
- Thi is innovative, creative, and sharp-witted.
- She is a natural leader with an adventurous spirit.
- She is always ready for a new challenge and seeks new ways to attain her goals.
Virtual | The Woodlands
Peter Del Buono, FNP-C
Peter then began a fifteen-year transition from a peak performance specialist to a board certified Family Nurse Practitioner (FNP). He obtained his BSC in Fitness and Human Performance from the University of Houston Clear Lake. He then went to the University of Texas Medical Branch for his Bachelor of Science, Nursing as well as his Masters of Science, Nursing.
As Peter puts it, becoming a Family Nurse Practitioner was the best choice that he’s ever made; it’s rewarding and enjoyable to be a key part of people’s efforts to achieve and maintain better health.
In his free time, Peter enjoys trying new restaurants around the Houston area and traveling.
-Jay Abiona, Houston TX

THE TALENT
Expressive | Stylish | Energetic |
Academic | Emotionally-Intelligent
HOW THE WORLD SEES HIM
- He is confident and articulate. Peter communicates his ideas in a highly engaging style.
- He is naturally playful, and enjoys meeting people.
- He is excellent at reading situations and understanding the dynamics of relationships. He has the ability to make everyone he talks to feel important.
- He has the ability to be successful at anything he touches.
- He is intensely focused on improving his skills.
- He dreams big and strives for excellence.
- His amiable personality means he’s well liked by co-workers and the patients he serves.
- Peter has a competitive spirit and working towards a goal invigorates him.
Remigio “Remmy” Acevedo, DNP, FNP-C
With a passion for lifelong learning, he earned degrees in Nutritional Science and Spanish from Texas A&M University before completing his nursing degree at Baylor University. Early in his career, he worked as a WIC nutritionist, providing nutritional education and comprehensive breastfeeding support. He later earned his Doctor of Nursing Practice from UTHealth Science Center at Houston. His clinical training taught him the importance of meeting every patient as an individual with unique challenges, goals, and needs.
Recognized for his attention to detail, clinical judgment, and calm demeanor during critical situations, he has been honored in D Magazine’s Excellence in Nursing and recognized with the prestigious DFW Great 100 Nurses award. Fluent in Spanish, he prioritizes culturally centered care, ensuring patients feel heard, respected, and empowered, and believes that “meaningful care starts with understanding the person and their goals, not just the diagnosis.” He strives to empower patients to take an active role in their health while building long-term, trusting relationships.
In his free time, he enjoys hiking and exploring nature, as well as spending quality time with his wife, family, and their two cats, Bruno and Estefano.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE GOOD CITIZEN
Principled | Prepared | Conscientious | Modest | Detail-Oriented
- Personal glory isn’t his main goal. Once committed to a team, he puts team needs above his own.
- He has a strong sense of purpose.
- He is thorough and thoughtful. He takes pride in doing his job well.
- He anticipates problems and aims to eliminate any chance for error or unpleasant surprise.
Thomas Wright, DO
Born and raised in south Texas, Dr. Wright attended the University of the Incarnate Word for medical school before completing his residency at the Memorial Hermann Family Medicine Residency program in Houston.
Outside of medicine, Dr. Wright enjoys spending time with his wife and two children. He is an avid reader, enjoys playing board games, exploring Houston’s vibrant food scene, and watching basketball.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE ARTISAN
Deliberate | Thoughtful | Flexible | Resourceful | Composer-like
-
He quickly gains the confidence of patients, co-workers, and peers thanks to her clear communication.
-
He has a clear vision on implementing her creative ideas, and you can be certain her ideas will work.
-
He enjoys creating results from challenging circumstances like designing a new product while taking a lot of constraints into account.
Virtual | Cypress
Rachael Wright, FNP-C
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE CATALYST
Out-of-the-Box | Social | Energizing | Enthusiastic | Creative
- She makes a vibrant first impression and she is valued for her enthusiastic approach and ability to generate ideas.
- Buoyant and social, she embraces new situations and relationships with zeal.
- She speaks with flair and uses expressive gestures.
- She knows how to captivate an audience. She adds value by starting action.
Rachel Cano, DNP
Dr. Rachel Cano DNP, FNP-C is a dedicated and skilled Family Nurse Practitioner with a passion for providing high-quality, patient-centered care. With over a decade of experience in both primary care and women’s health, she has honed her clinical skills in managing acute and chronic conditions, performing in-office procedures, and guiding patients toward healthier lives.
Throughout her career, Rachel has worked with underserved populations and works towards implementing strategies for increasing access to care and changing the flaws in healthcare.
Known for her compassionate approach, she ensures that every patient feels heard, valued, and confident in their care plan.
Before transitioning into family practice, Rachel worked extensively in labor and delivery, serving as a charge nurse and preceptor. She played a vital role in high-risk obstetric care, assisted in complex deliveries, and provided postpartum support.
Her dedication to excellence earned her multiple DAISY Awards for Nursing Excellence and several Employee of the Month honors.
Rachel holds a Doctorate of Nursing Practice from Baylor University, a Master of Science in Nursing from Chamberlain University, and a Bachelor of Science in Nursing from Houston Baptist University. She is licensed in multiple states, and certified in DOT examinations and the management of TMD/Orofacial pain. As a former military spouse, Dr. Cano, DNP, possesses a deep understanding of the unique needs of veterans and provides experienced, compassionate care to this patient population.
A firm believer in mentorship, she enjoys training and precepting NP students, helping shape the future of nursing.
Bilingual in Spanish, Rachel is committed to bridging gaps in healthcare by providing culturally competent and accessible care to diverse patient populations. She remains active in professional organizations such as the American Academy of Nurse Practitioners and the Association of Women’s Health, Obstetric, and Neonatal Nurses.
When she is not providing care, Rachel enjoys spending time with her family, traveling, and photography.
Dr. Cano is just a natural Texan with her kindness, politeness and professionalism. She has always responded to all of my texts promptly. Herself and the staff are the greatest. She is the friendliest and most caring person that I know and she is always understanding when she explains anything to you. I’ve been coming to First Primary Care over a year now and always know I and my family members are in great hands. I will continue to come here and recommend it to anyone.
– Gilbert Soliz, Pasadena, TX

THE ORCHESTRATOR
Attentive | Dedicated | Efficient | Open-Eyed | Vigorous
- Rachel commands attention and inspires others to reach their goals.
- Her attitude alternates between bright optimism and pragmatic execution.
- Rachel has a keen understanding of people and inspires them to reach optimal results.
- Rachel will provide constructive criticism. She will make sure everyone’s workload is manageable. And she will often close a meeting with a few upbeat words.
- She also can create strong emotional bonds.
Jessica Mendez, DNP, FNP
She earned her Bachelor of Science in Nursing from the University of Texas at Arlington and her Doctorate of Nursing Practice at the University of Texas Health Science Center at Houston. Jessica specializes in managing complex neurological and autoimmune conditions with experience in therapeutic apheresis treatments and stem cell collection, ensuring her patients receive high-quality, individualized care.
Jessica firmly believes that patients should actively participate in their healthcare journey. She prioritizes patient education and collaboration, empowering individuals to make informed decisions about their well-being. Her dedication to excellence has been recognized with leadership roles, quality improvement initiatives, and the prestigious DAISY Award for Extraordinary Nurses.
Beyond her professional life, Jessica finds balance through yoga, hiking, and music. She is married and the proud mother of three daughters, who continue to inspire her both personally and professionally.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE TRENDSETTER
Cutting-Edge | Elite | Progressive | Imaginative | Edgy
-
She’s good at sensing what the next big thing will be.
-
Whether it’s fashion or gadgets, consumer or business trends, she’s good at knowing what will be hot tomorrow.
-
She’s competitive and ambitious. She is able to influence company direction with a fresh interpretation of market opportunities.
-
She’s a trailblazer (of course) who guides others in often uncharted territories.
Peter Tran, PA-C
His approach to treating patients is to care for them as he would his own family members. Peter focuses on practical, evidence-based care, building strong and trusting relationships, and supporting each patient holistically by including their family in the care process. He believes in empowering patients through education and collaboration so they can make confident, informed decisions about their health.
Outside of medicine, Peter enjoys attending live stand-up comedy shows, tending to his garden, and experimenting with new recipes in the kitchen. He loves exploring Houston’s vibrant food scene and discovering local spots that celebrate the city’s cultural diversity.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE EVOLUTIONARY
Curious | Adaptable | Open-Minded | Incremental | Devoted
- He delights in understanding how things work.
- He allows himself to evolve. He learns why things are the way they are; and then makes a difference by improving.
- He doesn’t get locked into one way of doing or thinking. He’s intelligent and willing to try new ideas.
- He remains dedicated to the people and projects he commits to.
Pasadena
Tiffany Perez, DO
Family Medicine
Dr. Tiffany Perez is a board-certified family physician with a passion for helping patients live healthier, more balanced lives. She is especially passionate about preventive medicine and she takes pride in partnering with patients to create personalized, sustainable treatment plans that fit their real lives. Known for her approachable style and attentive listening, Dr. Perez strives to make every patient feel heard, respected, and actively involved in their care.
Born and raised in Houston, Texas, Dr. Perez has always felt a strong connection to her community and values building long-term, trusting relationships with her patients. She earned her Bachelor of Science degree in Biochemistry from Baylor University in Waco, Texas, before completing her medical degree at Edward Via College of Osteopathic Medicine in Auburn, Alabama. She went on to complete her family medicine residency at Oklahoma State University Medical Center in Tulsa, Oklahoma.
When she is not practicing medicine, Dr. Perez enjoys spending quality time with her family and friends. She loves staying active through running, exploring new restaurants around the city, and curling up with a good book. She also enjoys traveling and finding small ways to bring balance and joy into everyday life—values she encourages her patients to embrace as well.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE ANCHOR
Trust + Mystique
Protective | Purposeful | Analytical | Calm | Steady
- She’ll do her best to ensure that everyone on the team is taken care of.
- She communicates her ideas with clarity and responds to problems with careful reasoning.
- She remains calm in the face of challenges.
Maryse Bakouetila, MD
year. She is fluent in English, French, and Spanish.
She gets excited by the opportunity to empower her patients to live the life they have as fully as they can. She strives to work as a team on health prevention, with the patient as the main driver of their health outcomes, to both stay well but also to avoid dramatic health situations. She establishes a partnership with care seekers to walk alongside them and guide them to make decisions that will maximize their health on their wellness journey.
When she is not practicing medicine, Dr. Bakouetila enjoys spending time with her family, painting, watching movies, and trying new blends of tea.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil

THE DIPLOMAT
Levelheaded | Subtle | Capable | Impeccable | Prudent
-
Her commitment to high principles reassures patients
and gives co-workers great confidence in their leadership. -
She leads by example. Her thoughtful words and
considerate actions inspire the team to do its best work. -
She seldom uses high-pressure tactics. She prefers to
maintain a consistent approach of encouragement with
an understated leadership style. -
She’s able to work with those around her with a
soft-spoken but confident approach. Her ability to win
the admiration of others is a distinct advantage.
Justin Wolfe, DNP
Dr. Wolfe, DNP started his nursing career in the year 2000 as a Licensed Practical Nurse before continuing his nursing education by attending the University of Arkansas at Fort Smith earning an Associate Degree in Nursing Technology in 2005, Western Governors University earning a Bachelor of Science in Nursing in 2017 and The George Washington University earning a Master of Science in Nursing-Family Nurse Practitioner in 2021. He completed his Doctoral Program in Nursing Practice at Frontier Nursing University in 2023 where he was awarded the Doctor of Nursing Practice Exemplary Project Award for his doctoral-level work in improving the management of hypertension at his clinical site while exhibiting leadership, academic excellence, and outstanding scholarship.
Dr. Wolfe, DNP is an active member of the American Association of Nurse Practitioners and The Sigma Theta Tau International Honor Society. Finally, he serves as an Officer in the United States Air Force Nurse Corps as a reservist in the role of clinical nurse and nurse practitioner.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE MAVERICK LEADER
Pioneering | Irreverent | Entrepreneurial | Artful | Dramatic
-
He leads with a bold and unconventional vision.
-
They like to challenge and experiment when the routine becomes too familiar.
-
He is happy to take the lead and propose new directions when needed.
-
He is always coming up with new ideas and likes to include others when implementing them.
Laura Granger, FNP-C
Prior to becoming a Nurse Practitioner, Laura was a registered nurse for 7.5 years in a variety of settings including Emergency Medicine, Telemedicine, and Case Management. With this background as a foundation, she strives to better understand and recognize evolving changes in the needs of her patients. Laura believes education is pivotal for affording patients the optimal setting to be proactive in their healthcare journey. She enjoys learning more about the evolution of healthcare and recognizes the importance of encompassing a dynamic approach that may look different for each patient encounter. Working as a Family Nurse Practitioner allows her to establish better working relationships with her patients to promote health and wellness as a keystone.
When Laura is not working, she is an active participant in her faith, enjoys cooking and baking, spending time with her family, and traveling. She is a member of Sigma Theta Tau International Honor Society and The American Association of Nurse Practitioners.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE CATALYST
Out-of-the-Box | Social | Energizing | Enthusiastic | Creative
- She makes a vibrant first impression and she is valued for her enthusiastic approach and ability to generate ideas.
- Buoyant and social, she embraces new situations and relationships with zeal.
- She speaks with flair and uses expressive gestures.
- She knows how to captivate an audience. She adds value by starting action.
Blair Smith, FNP-C
Blair is committed to delivering compassionate, patient-centered care with a focus on health promotion, disease prevention, and evidence-based management of both acute and chronic conditions. Known for building trusting relationships with patients and collaborating with multidisciplinary teams, Blair strives to empower individuals through education and support. Blair is a member of Sigma Theta Tau International Honor Society and The American Association of Nurse Practitioners.
Outside of work, Blair enjoys traveling and spending quality time with family and friends, believing that a balanced life is essential to personal and professional fulfillment.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE CATALYST
Out-of-the-Box | Social | Energizing | Enthusiastic | Creative
- She makes a vibrant first impression and she is valued for her enthusiastic approach and ability to generate ideas.
- Buoyant and social, she embraces new situations and relationships with zeal.
- She speaks with flair and uses expressive gestures.
- She knows how to captivate an audience. She adds value by starting action.
Karthik Mulkanoor, MD
Dr. Mulkanoor is highly regarded as an esteemed leader and colleague within the central Ohio medical community. He brings a wealth of knowledge and experience, from caring for critically-ill patients to teaching resident physicians over many years. He has a distinct passion for disease prevention and places special focus on the root-cause of illness to help patients avoid unnecessary health challenges.
In the direct primary care model, Dr. Mulkanoor can take the time to holistically evaluate a patient’s concerns and goals to support their journey toward optimal health and wellness. His attention to detail and seasoned expertise allows Dr. Mulkanoor to not only focus on prevention, but also reduce the risk of undetected or unaddressed health concerns. Under the guidance of Dr. Mulkanoor, this model provides patients with a next-generation solution to primary preventative care when and where they need it.
Dr. Mulkanoor enjoys golf and cheering on the Chicago Bulls and Bears in his spare time.
Dr. Karthik is an excellent and comprehensive physician. He has helped me set my wellness goals to feel healthier. Through looking at my diet, taking in-depth lab tests, and assessing my overall physical health I can tell that I feel better and I am in great care.
– Nick Molnar
THE AVANT-GARDE
Original | Enterprising | Forward-Thinking | Dashing | Commendable
-
His creativity makes him an excellent contributor to brainstorming sessions.
-
He is able to generate a lot of ideas while also choosing the right ideas and implement them with attention to detail.
-
He experiments with new ideas. He has a gift for looking ahead and for predicting how things are going to develop.
-
He inspires others to look ahead. He isn’t just content with patients being happy with their care, he wasts to make sure they will still be happy next month or next year.
Emily Schmitter, FNP-C
In her free time, Emily enjoys the outdoors, watching sports, and spending time with her family. She is a devoted Alabama football fan, for better or for worse. When she’s not watching football you will find her taking long walks with her husband, daughter, and sheepadoodle, Archie.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE Ace
Decisive | Tireless | Forthright | Goal-Oriented | Shielded
-
She make decisions efficiently. She doesn’t waste time, and works to help her patients swiftly.
-
Her reactions are carefully considered, and she is quick to take action and produce results.
-
She is very determined and will fight for what she believes is right, with the facts to back it up.
-
She is focused on reaching whatever goals are set.
-
She always thinks before acting. Her thoughtfulness helps avoid mistakes.
Columbus, OH
David Flowers, FNP-C
Family Medicine
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE DIPLOMAT
Trust + Prestige
Levelheaded | Subtle | Capable | Impeccable | Prudent
- He works towards goals in a steady way.
- Everything about his performance and presentation reflects his attention to detail.
- He communicates his ideas with clarity and conviction.
Columbus, OH
Connie Porter, FNP-C
Family Medicine
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE CATALYST
Passion + Innovation
Out-of-the-Box | Social | Energizing | Enthusiastic | Creative
- She makes a vibrant first impression and she is valued for her enthusiastic approach and ability to generate ideas.
Buoyant and social, she embraces new situations and relationships with zeal. - She speaks with flair and uses expressive gestures.
- She knows how to captivate an audience.
- She adds value by starting action.
Columbus, OH
Christina Creek, FNP-C
Family Medicine
Christina was born and raised in Steubenville, Ohio. She completed her MSN degree at Franciscan University in Steubenville in 2018. Christina believes that building trusting relationships with patients is of utmost importance and values creating meaningful connections through compassionate care.
Outside of work, she enjoys spending quality time with her close-knit group of friends, her family, her boyfriend, and Hailey—her mini Goldendoodle. She is also an avid fan of the Ohio State Buckeyes football and the Pittsburgh Steelers.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE ORCHESTRATOR
Passion + Alert
Attentive | Dedicated | Efficient | Open-Eyed | Vigorous
- She keeps her team on track by paying close attention to details.
- She deeply cares about people, but also works smartly to stay on track.
- Her keen focus on meeting deadlines doesn’t mean she skips details.
- Working towards a goal energizes her.
Portland, OR
Damaris Pop, PA
Family Medicine
Damaris is a physician associate with a passion for serving her community. She takes specific
interest in preventive care and strives to work with her patients toward achieving their health
goals. Her Romanian roots have influenced her method of care as she values a more holistic
approach to healthcare. Damaris is passionate about direct primary care because she also
believes in treating the source rather than the symptoms of disease. Direct primary care is an
especially appropriate model for these goals.
After attaining her Bachelors Degree at Portland State University in Oregon, she transferred to
South College in Knoxville, TN, to complete her Masters in Physician Assistant Studies. She
enjoys primary care because this field of medicine allows her to build lifelong and meaningful
connections with people while working toward their good health. Her dedication to establishing a
trusting relationship with patients acts as a catalyst to improving their overall wellbeing.
In her spare time, Damaris enjoys traveling with friends and spending time with family. She may
often be found with a book in one hand and coffee in the other, never tea. As an Oregon
resident, she also takes advantage of the opportunity to explore the beautiful Pacific Northwest.
Absolutely best experience I have ever had with doctors and the clinical staff. Caring, kind and knowledgeable. The professionalism and quality is just over the top amazing. If you’re thinking about going here, do yourself a favor and do so!
– Carly Kvapil
THE INTRIGUE
Passion + Mystique
Discerning | Perceptive | Considerate | Selective | Warm and Cool
- She understands when to dial up the emotion and when to pull back.
- She carefully considers her decisions.
- Her public persona tends to be warm.
- Her ability to be both warm and objective is an advantage when the situation demands emotional complexity.
At First Primary Care, we believe that the Direct Primary Care model is the answer to the healthcare crisis in America. Our locations in Houston and surrounding communities are only the beginning. We are on a mission to revolutionize healthcare across the country.
Care that Puts You First
Our promise to you

Accessible
Your care team is there when you need them most. Whether it’s a child with an earache, chest pain that raises concern, or an urgent prescription refill, we understand that health needs don’t follow a schedule. You can count on our support when it matters most.

Respectful
You know your body better than anyone. While we bring medical expertise, we always respect your perspective, preferences, and decisions when it comes to your care.

Open-minded
Your care team is here to support your health and well-being. Whether you want to explore nutritional therapy, incorporate acupuncture, or seek a second opinion, we’ll help you find the right resources and build a treatment plan that works for you.

Adaptable
We tailor care to your lifestyle and budget, adjusting treatment plans, exploring alternatives, and even coordinating with outside physicians if you’d like to keep your current doctor.

Dependable
We’re here for you, day or night, whenever you need us. At First Primary Care, you’re family, and we’re always in your corner.