Questions, answered

Tessy Kadavil, DNP, FNP. She is a Nurse Practitioner with a Doctor of Nursing Practice degree and more than thirty years in healthcare, and she is the clinician you will see at your visits. In Texas, nurse practitioners evaluate patients, diagnose, order and interpret tests, and prescribe medication.

The office is at 8038 Wurzbach Road, Suite 510, San Antonio, TX 78229, in the Medical Center district. Suite 510 is on the fifth floor.

Monday to Friday, 8:00am to 5:00pm. The office is closed on Saturday and Sunday.

The practice cares for patients aged 8 and older, through adulthood and into later life.

The practice accepts Medicare, Medicaid, Humana, Aetna, Wellpoint, Cigna, Blue Cross Blue Shield, Molina, UnitedHealthcare, WellMed, and TRICARE. Insurance companies offer many different plans, and coverage can differ between them, so if you are not sure about yours, call 210-699-6993 before your first visit. Bring your insurance card to the appointment.

Costs depend on the visit, your coverage and what care you need, so please call the office at 210-699-6993 to ask before you come in.

Sometimes. The practice works with pharmaceutical manufacturers to provide co-pay cards that lower the cost of certain brand-name prescriptions. Whether one is available depends on the medication and on your insurance, so raise it at your appointment and it can be looked at alongside what you are prescribed.

Call 210-699-6993 during office hours, or email the front office at frontoffice@kadavilfnp.org with your name and the best number to reach you, and the office will get back to you. Please keep medical details for the appointment itself.

Call the office at 210-699-6993 and ask what is available today. Same-day availability depends on the day, and the staff can tell you in a moment what a web page cannot.

Call 210-699-6993 as early as you can. Letting the office know ahead of time frees the appointment for another patient who needs it.

No. If you have chest pain, difficulty breathing, signs of a stroke, a severe injury, thoughts of harming yourself, or any other emergency, call 911 or go to the nearest emergency department. You can also reach the 988 Suicide and Crisis Lifeline by calling or texting 988.

Photo identification, your insurance card if you have one, a list of the medications and supplements you take with their doses, and the names of any other clinicians involved in your care. If you have recent test results or records from a previous practice, bring those too.

Bringing the bottles is helpful. They carry the dose, the prescriber and the pharmacy in one place, which makes the medication review faster and more accurate than a list written from memory.

No. The practice has partnered with a nationally recognized laboratory service, so blood is drawn here in the office and sent away for analysis at a reduced cost. You do not need to make a separate trip to an outside lab.

Yes. You are welcome to bring someone with you, and for memory-related visits it is often genuinely useful to have a person who sees you day to day in the room.

A first visit is mostly conversation: your health history, the medications you take, what has been happening recently and what you want to get out of your care. From there you and Tessy agree what to examine, what to test and what to do next.

Yes. Primary care and chronic disease management are the core of the practice — routine health evaluations, preventive screening, laboratory monitoring, medication management, and ongoing care for long-term conditions.

The practice manages a broad range of chronic conditions, including diabetes and insulin resistance, thyroid disorders, cardiovascular and metabolic conditions, and arthritis. Some conditions are managed here and some are best co-managed with a specialist; that is decided case by case and discussed with you.

A dementia visit looks at memory, thinking and day-to-day function; reviews the medications being taken; considers behavioral and emotional changes; assesses safety and fall risk; and manages the other health conditions in the picture. Caregiver education is part of the visit, not an afterthought.

Yes. Families frequently make the first call. Call 210-699-6993 and explain the situation to the office, and bring the medication bottles and any recent records to the visit.

No. Non-pharmacological approaches are emphasized wherever they are appropriate, and part of the work is identifying medical, medication-related, nutritional and environmental factors that may be driving a change in mood, sleep or behavior.

Records of substance use disorder treatment carry federal protections beyond ordinary medical privacy, under 42 CFR Part 2. Ask the office how your information is handled and what you would need to sign before anything could be shared.

Treatment combines medication for opioid use disorder with care for the whole person — assessing and addressing conditions such as ADHD, anxiety, depression and trauma alongside the physical and emotional effects of substance use, with ongoing monitoring and support.

The practice offers Sublocade® and Brixadi®, long-acting injections of buprenorphine. Sublocade is given once a month; Brixadi can be given weekly or monthly. Which is right for you is a clinical decision made with you, based on your history and what you are looking for from treatment. Call 210-699-6993 to talk it through before you commit to anything.

No. Opioid use disorder is treated here as the medical condition it is.

It is medical care. The starting point is that obesity is a chronic, complex medical condition rather than a matter of willpower, so the work is identifying and addressing the contributing factors — metabolic health, nutrition, activity, sleep, stress, genetics, medications and other health conditions.

They may be. When suitable, GLP-1-based medications can be incorporated into a personalized treatment plan. Whether that is appropriate for you is a clinical decision made together, after an assessment.

The practice takes the view that healthy weight loss should be gradual, individualized and professionally monitored. Rapid or poorly supervised weight loss can increase the risk of nutritional deficiencies, loss of muscle mass, fatigue, hair loss, gallbladder problems and other complications.

It begins with a comprehensive medical assessment, a review of your symptoms and health history, and appropriate laboratory testing. Treatment is considered afterwards, in light of what the assessment shows.

Both. The practice evaluates adult men and women with symptoms that may be associated with hormonal changes, including fatigue, reduced energy, changes in mood, reduced libido, difficulty sleeping, loss of muscle mass and changes in body composition.

Yes. Hormone therapy requires careful medical supervision, so patients receive ongoing laboratory monitoring, medication adjustments and evaluation for both benefits and adverse effects.