We provide the following services:

General Primary Care:

Our primary care services include preventative health care and routine medical care, such as physical exams, treatment of common problems (colds, vomiting, infections); acute, as well as chronic illnesses such as asthma or diabetes.

• Immunizations (record is required to receive immunizations)
• Laboratory Tests
• Health Education
• X-rays (referral to Hospital)

Women’s Health:

For females, routine pelvic and breast examinations, Pap tests, contraceptive services, sexually transmitted infection testing and treatment are available. If applicable, referrals to an OB/GYN for prenatal care.

• Breast and Cervical Cancer Services

Pediatric Care:

Our providers and staff are dedicated to ensuring that you child’s care with us is pleasant . Services include well child and acute care to newborns and children up to 18 years of age.

• Immunizations for children are offered at most of our clinic sites.
• Checkups, physicals, and Texas Health Steps.

Health Education:

• Self-management Goals: Diabetes, HTN, Obesity
• Nutrition Counseling
• Exercise Equipment Available
• Health Fairs

All Ages Welcome.

Click here if you are interested in becoming a patient.

We accept most private insurance, Medicaid, and also use a sliding scale.

We provide the following services:

General Primary Care:

Our primary care services include preventative health care and routine medical care, such as physical exams, treatment of common problems (colds, vomiting, infections); acute, as well as chronic illnesses such as asthma or diabetes.

• Immunizations (record is required to receive immunizations)
• Laboratory Tests
• Health Education
• X-rays (referral to Hospital)

Women’s Health:

For females, routine pelvic and breast examinations, Pap tests, contraceptive services, sexually transmitted infection testing and treatment are available. If applicable, referrals to an OB/GYN for prenatal care.

• Breast and Cervical Cancer Services

Pediatric Care:

Our providers and staff are dedicated to ensuring that you child’s care with us is pleasant . Services include well child and acute care to newborns and children up to 18 years of age.

• Immunizations for children are offered at most of our clinic sites.
• Checkups, physicals, and Texas Health Steps.

Health Education:

• Self-management Goals: Diabetes, HTN, Obesity
• Nutrition Counseling
• Exercise Equipment Available
• Health Fairs

All Ages Welcome.

Click here if you are interested in becoming a patient.

We accept most private insurance, Medicaid, and also use a sliding scale.

Early Head Start provides comprehensive child and family development services year-round for low-income families with infants and toddlers ages birth to three years.

The program aims to enhance children's physical, social, emotional, and intellectual development for school readiness; to support parents' efforts to fulfill their parental roles; and to help parents move toward self-sufficiency.

AVANCE-San Antonio offers a two-option program: a home-based option and a center-based option at licensed childhood development centers.

Home-based Option

• Weekly Home Visits
• Bi-Weekly Group Socializations

Center-based Option

• Infant/Toddler Child Development Classrooms
• Early Childhood Education and Development
• Services for Infants and Toddlers with Special Needs
• Bilingual and Dual Language

Support Services

• Health & Dental Screenings
• Developmental and Social-Emotional Screenings
• Child and Family Mental Health (ECI)
• Nutrition Services and Education
• Home Visits
• Parent Education & Services to Fathers
• Linkage to Community Resources
• Transportation (if needed)

Adult Education

• Parental Engagement & Workforce Pathways

We offer high-quality, early childhood education for children 6 weeks through 3 years.

Head Start is a federally funded program provided at no cost for qualifying families.

Early Head Start provides comprehensive child and family development services year-round for low-income families with infants and toddlers ages birth to three years.

The program aims to enhance children's physical, social, emotional, and intellectual development for school readiness; to support parents' efforts to fulfill their parental roles; and to help parents move toward self-sufficiency.

AVANCE-San Antonio offers a two-option program: a home-based option and a center-based option at licensed childhood development centers.

Home-based Option

• Weekly Home Visits
• Bi-Weekly Group Socializations

Center-based Option

• Infant/Toddler Child Development Classrooms
• Early Childhood Education and Development
• Services for Infants and Toddlers with Special Needs
• Bilingual and Dual Language

Support Services

• Health & Dental Screenings
• Developmental and Social-Emotional Screenings
• Child and Family Mental Health (ECI)
• Nutrition Services and Education
• Home Visits
• Parent Education & Services to Fathers
• Linkage to Community Resources
• Transportation (if needed)

Adult Education

• Parental Engagement & Workforce Pathways

We offer high-quality, early childhood education for children 6 weeks through 3 years.

Head Start is a federally funded program provided at no cost for qualifying families.

Marathon Health Center provides a space for Telemed exams. We are partnering with Texas Tech Health Science Center for TeleMed exams. We facilitate your appointment with Texas Tech Physicians in Odessa. Standard vitals as well as lung and heart stethoscope and a high resolution otoscope for eyes, ears, nose, throat, and skin are available . These appointments adhere to all HIPAA privacy standards. 

For information on how to schedule an appointment, click here.

If you have insurance, the representative will ask for this information during scheduling. Appointments without insurance will be a charge of $30.

Fort Davis Famiy Practice is a primary care provider.

James D. Luecke, MD, and Kathy Duncan, FNP-C,  provide care to patients of all ages.

Perla Bermudez, O.D. and her optometry team at 4i’s Optical in Alpine offer eye care for all ages in a family-oriented office.

The primary eye care service at 4i's Optical includes a complete eye exam that analyzes eye health and vision function. In addition to eye exams and vision testing, Dr. Bermudez provides testing for glaucoma, cataracts and macular degeneration. 4i's Optical also offers glasses, contact lenses, and pre- and post-operative care.

Audie Coggins, DC, and Beau Coggins, DC, at Coggins Chiropractic help patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain.

Coggins Chiropractic specializes in Sports Medicine and offers treatment for 

• Accidents and injuries
• Dance and sports injuries
• Head and neck pain
• Headaches and migraines
• Hip pain
• Leg pain
• Lower back pain
• Numbness
• Shoulder pain
• Whiplash injuries

The Sunshine House in Alpine hosts Beltone Hearing Center and folks come from all over (Marathon, Marfa, Fort Davis, Balmohea, Fort Stockton, etc).

Beltone offers hearing screenings and innovative digital hearing instruments to match your financial needs, lifestyle, and virtually any type of hearing loss.

Beltone staff frequently visit the homes of patients to make their hearing aid maintenance easier.

Free services provided are hearing exams, consultations, earwax removals, cleaning, and service of hearing instruments, insurance reviews.

Click here for information on financing hearing aids.

Sunshine House offers activities Monday through Friday and two Saturdays a month. Activities include exercise classes, a book club, and health screenings. For a monthly calendar of activities, click here. 

A library and public computers are also available for seniors.

• Free Wi-Fi
• Free Computer Use

Medical Care is provided to patients of all ages at Family Health Services of Alpine.

Medical procedures offered include 

• EKGs
• Home visits
• Prolotherapy
• Pulmonary function testing
• Joint aspirations and injections
• Management of minor emergencies
• Lab work at a heavily discounted rate
• Dermatologic procedures

Providers include

• Patrick Daly, MD, Internal Medicine
• Mark Dwinell, MD, Internal Medicine
• Edith Simmons, MD, Internal Medicine, Nephrology
• Emily Sliz, MD, Family Medicine, Obstetrics
• William Mason, Family Nurse Practitioner
• Jose Soto-Hernandez, MSN, APRN, Family Nurse Practitioner

As a Federally Qualified Health Center, PCHS is committed to serving all people regardless of their ability to pay.

Click here to learn more about new appointment procedures, and here for new patient forms. 

PCHS clinics accept most major insurance plans.

PCHS also provides a sliding fee discount program for services based on income and number of family members. Depending on qualifications, patients may be eligible for a 100%, 75%, 50%, or 25% discount on services. Click here to learn more, and here for the Sliding Fee application.

Family Health Services of Alpine is part of Preventative Care Health Services, a comprehensive network of medical, dental, and behavioral health clinics whose mission is to serve the patients of the Big Bend region. Our providers are multifaceted, and together we see patients of all ages across many specialties:

• Pediatrics – Children, from newborns to age 18
• Obstetrics and Gynecology – Infertility, prenatal care, postpartum follow up, contraception, most gynecological complaints
• Internal Medicine – Adults ages 18-65 for all medical diagnoses
• Geriatrics – Adults over 65 and through the end of life for all medical diagnoses
• Occupational Work Exams – DOT/CDL physicals, school physicals, pre-employment physicals, hearing screens
• Psychiatry/Behavioral Health – Depression, anxiety, bipolar disorder, dementia, delirium, and schizophrenia

As a Federally Qualified Health Center, PCHS is committed to serving all people regardless of their ability to pay.

Click here to learn more about new appointment procedures, and here for new patient forms. 

PCHS clinics accept most major insurance plans.

PCHS also provides a sliding fee discount program for services based on income and number of family members. Depending on qualifications, patients may be eligible for a 100%, 75%, 50%, or 25% discount on services. Click here to learn more, and here for the Sliding Fee application.

Dr. Gluck offers prepaid office visits that include 6 months of consults, follow ups, and in-house labs.

Dr. Gluck provides non-emergency medical services to adults ages 21 and up. He also offers in-house labs, including urine pregnancy test, dip urinalysis, and finger stick glucose.

For a list of prepaid services, click here.

$180 for 6 months of continuous care

Big Bend Regional Health Center provides preventive health care and general medical treatment for patients of all ages. TeleHealth is available.

Services include

• Family Medicine
• Women's Health

For online appointment scheduling, click here.

For Patient Resources, click here.

Big Bend Regional Health Center accepts almost all major insurance plans including Medicare and Medicaid. Please bring your insurance card with you so that we can make a copy for your medical record. If you have a change in insurance, address or phone number, be sure to notify the receptionist so that the change can be entered into our system.

We accept all major credit cards for payment, such as Visa and Mastercard. All balances are expected to be paid at the time of service.

MCH ProCare cardiology specialists see patients in a satellite clinic at the Big Bend Regional Medical Center in Alpine. 

• Dr. Boccalandro: 3rd Tuesday of every month
• Dr. Patel: 1st Tuesday of every month
• Dr. Farber: 1st Tuesday in January, April, July, and October

Services include

• Earwax removal
• Hearing tests
• Evaluation for hearing aids
• Hearing aid fitting
• Hearing aid repair
• Hearing care for children
• Industrial hearing screening
• Live speech mapping
• Remote hearing care
• Tinnitus treatment options

The satellite center at Big Bend Regional Medical Center takes appointments up to two times a month.

Click here for new patient forms.

Audio Acoustics accepts many insurances and will check your insurance benefits on your behalf. By contacting your insurance provider, we can ask the right questions and determine the best way to maximize your benefits.

Mammos on the Move (MOM) is the mobile mammography division of Desert Imaging of El Paso.

The mobile units of Mammos on the Move provide mammograms multiple times a year in Alpine in the parking lot of Big Bend Regional Medical Center.

The screening takes approximately 10 minutes.

• It must be a year since your last mammogram.
• You must be 40 years of age or over.
• Bring your ID and insurance card to your appointment.

PhyTEx athletic trainers work closely with area physicians, hospitals, coaches, and parents to ensure injury prevention and diagnosis, acute care, rehabilitation, and safe return to athletic activities.

PhyTEx accepts Medicaid and Medicare (pre-certification may be needed), Worker’s Compensation Board, military insurance and all major private insurance coverage.

We offer a wide range of services, from treating acute and chronic illnesses to preventive care such as immunizations and well-child exams. Whether your child requires medical attention for an illness or simply needs a routine check-up. 

We offer the following Pediatric Care Services: 

• Immunizations
• Well-Child Visits
• Pediatric Acute Care
• Chronic Disease Management (i.e. allergy, asthma, diabetes, etc.)
• Patient Health & Nutrition Education
• Individual and Family Counseling
• ADHD Care
• Teen Health
• School and Sports Physcials

We accept these insurances:

• Aetna (HMO/PPO)
• Ambetter (HMO)
• Blue Cross Blue Shield (HMO/PPO)
• Community First (HMO)
• Humana (HMO/PPO)
• Multiplan/PHCS (PPO)
• Oscar Health Insurance
• TRICARE (East Region)
• United Healthcare (PPO)
• University Community Care Plan
• Medicare
• Medicaid

Fort Davis Family Practice accepts Medicare and Medicaid. 

Mammos on the Move (MOM) is the mobile mammography division of Desert Imaging of El Paso.

The mobile units of Mammos on the Move provide mammograms multiple times a year in Marfa at the Presidio County Courthouse.

The screening takes approximately 10 minutes.

Click here to schedule an appointment.

• It must be a year since your last mammogram.
• You must be 40 years of age or over.
• Bring your ID and insurance card to your appointment.

Medical Care is provided to patients of all ages at Marfa Community Health Clinic.

Medical procedures offered include 

• EKGs
• Home visits
• Prolotherapy
• Pulmonary function testing
• Joint aspirations and injections
• Management of minor emergencies
• Lab work at a heavily discounted rate
• Dermatologic procedures

Providers include

• Patrick Daly, MD, Internal Medicine
• Mark Dwinell, MD, Internal Medicine
• Edith Simmons, MD, Internal Medicine, Nephrology
• Emily Sliz, MD, Family Medicine, Obstetrics
• William Mason, Family Nurse Practitioner
• Jose Soto-Hernandez, MSN, APRN, Family Nurse Practitioner

As a Federally Qualified Health Center, PCHS is committed to serving all people regardless of their ability to pay.

Click here to learn more about new appointment procedures, and here for new patient forms. 

PCHS clinics accept most major insurance plans.

PCHS also provides a sliding fee discount program for services based on income and number of family members. Depending on qualifications, patients may be eligible for a 100%, 75%, 50%, or 25% discount on services. Click here to learn more, and here for the Sliding Fee application.

Mammos on the Move (MOM) is the mobile mammography division of Desert Imaging of El Paso.

The mobile units of Mammos on the Move provide mammograms multiple times a year outside the Presidio Senior Citizens Center parking lot.

The screening takes approximately 10 minutes.

Click here to schedule an appointment.

• It must be a year since your last mammogram.
• You must be 40 years of age or over.
• Bring your ID and insurance card to your appointment.

Medical Care is provided to patients of all ages at Presidio County Medical Clinic.

Medical procedures offered include 

• EKGs
• Home visits
• Prolotherapy
• Pulmonary function testing
• Joint aspirations and injections
• Management of minor emergencies
• Lab work at a heavily discounted rate
• Dermatologic procedures

Providers include

• Patrick Daly, MD, Internal Medicine
• Mark Dwinell, MD, Internal Medicine
• Edith Simmons, MD, Internal Medicine, Nephrology
• Emily Sliz, MD, Family Medicine, Obstetrics
• William Mason, Family Nurse Practitioner
• Jose Soto-Hernandez, MSN, APRN, Family Nurse Practitioner

As a Federally Qualified Health Center, PCHS is committed to serving all people regardless of their ability to pay.

Click here to learn more about new appointment procedures, and here for new patient forms. 

PCHS clinics accept most major insurance plans.

PCHS also provides a sliding fee discount program for services based on income and number of family members. Depending on qualifications, patients may be eligible for a 100%, 75%, 50%, or 25% discount on services. Click here to learn more, and here for the Sliding Fee application.

Presidio County Medical Clinic is part of Preventative Care Health Services, a comprehensive network of medical, dental, and behavioral health clinics whose mission is to serve the patients of the Big Bend region. Our providers are multifaceted, and together we see patients of all ages across many specialties:

• Pediatrics – Children, from newborns to age 18
• Obstetrics and Gynecology – Infertility, prenatal care, postpartum follow up, contraception, most gynecological complaints
• Internal Medicine – Adults ages 18-65 for all medical diagnoses
• Geriatrics – Adults over 65 and through the end of life for all medical diagnoses
• Occupational Work Exams – DOT/CDL physicals, school physicals, pre-employment physicals, hearing screens
• Psychiatry/Behavioral Health – Depression, anxiety, bipolar disorder, dementia, delirium, and schizophrenia

A Class A Pharmacy is located at the Presidio County Medical Clinic.

As a Federally Qualified Health Center, PCHS is committed to serving all people regardless of their ability to pay.

Click here to learn more about new appointment procedures and to view new patient forms. 

PCHS clinics accept most major insurance plans.

PCHS also provides a sliding fee discount program for services based on income and number of family members. Depending on qualifications, patients may be eligible for a 100%, 75%, 50%, or 25% discount on services. Click here to learn more, and here for the Sliding Fee application.