About
People-Centered Health
People-Centered Health
Modern medicine is often fragmented across various systems and specialists. As comprehensivists, we specialize in the synthesis of your entire medical story. By integrating data from advanced diagnostics and specialist findings, we provide the rigorous clinical oversight necessary to create a cohesive health roadmap.
Our management is rooted in established medical principles rather than passing trends. We utilize the intentional time afforded by our model to critically assess data and provide expert guidance tailored to your long-term health. This focus on evidence and longitudinal relationship ensures a standard of care built on depth and transparency.
Modern medical data is often fragmented across multiple systems and independent specialists. Our framework addresses this by centralizing all clinical findings into a single, managed strategy. We provide the high-level synthesis and rigorous oversight necessary to ensure every diagnostic insight is translated into a cohesive path forward for your health.
Modern medicine requires the intentional time for deep clinical synthesis. Effective health management moves beyond fragmented care to provide the rigorous oversight necessary to manage a medical story in its entirety. As clinical architects, we integrate specialist data and diagnostics into a clear, evidence-based roadmap for long-term health.
Juan “Rick” Ramos Dominguez attended the University of Texas at San Antonio where he earned a Bachelor of Business Administration in Economics. While earning his BBA, Dr. Rick joined the U.S. Navy serving as a Hospital Corpsman. In this role he cared for Marine Corps personnel and conducted point-of-injury medical training for unit personnel, inspiring a career in medicine.
Dr. Rick continued his studies, simultaneously earning a Master of Public Health from UT Health Houston School of Public Health and a Doctor of Medicine from the University of Texas School of Medicine at San Antonio.
He completed his residency in Family Medicine and subsequently returned to Active Duty serving in various medical, leadership, and advisory roles – including joint executive medical oversight of two NATO forward operating bases.
Dr. Sara Pastoor is an expert physician and healthcare executive with over 25 years of experience in medicine. She holds a medical degree from the Rosalind Franklin School of Medicine and completed her residency in family medicine at Baylor College of Medicine. She is board certified by the American Board of Family Medicine and is a Fellow of the American Academy of Family Physicians. Dr. Pastoor spent the first 15 years of her career in the Army Medical Department, serving in various leadership roles and retiring at the rank of colonel in 2013. She also holds a BA in Psychology from Oakland University and a Masters in Health Administration from Trinity University.
Dr. Pastoor served as the inaugural Director for UT Health’s Primary Care Center in San Antonio, leading patient-centered transformation and primary care expansion in the academic setting. Following this, she served as Medical Director for an innovative primary care platform supporting H-E-B employees and their dependents. Throughout her career, Dr. Pastoor has focused her passion on patient-centered care delivered by a multidisciplinary team informed by science-based methodologies and the latest research.
An accomplished primary care champion, Dr. Pastoor is recognized for her leadership in patient-centered workflows, EHR optimization, and health system transformation. She has written and spoken prolifically on the topic of membership-based primary care and is passionate about the power of the physician-patient relationship and its crucial role in delivering effective healthcare.
Dr. Pastoor is dedicated to service and frequently volunteers with Corazon Ministries at their homeless clinic in downtown San Antonio. She has participated in numerous medical service trips abroad and remains in the Army’s retired reserves. She is a mother to three wonderful daughters and a surrogate mother and mentor to many. Dr. Pastoor is delighted to be part of the People-Centered Health team and continue to serve her San Antonio community.
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