Thomas Mieras, MD is a Internal Medicine Physician practicing at CHRISTUS Trinity Clinic - San Antonio Preventive & Diagnostic Medicine in San Antonio, TX. He is a trusted local provider on kellysearch.com, dedicated to providing comprehensive Internal Medicine care for adults. Dr. Mieras is registered with The Texas Medical Board and practices under the Texas Occupations Code, Title 3, Subtitle B (Physicians - Medical Practice Act). He is an expert in adult primary care, managing a wide range of health concerns. Internal Medicine Physicians (Internists) are adult primary care doctors (MD or DO) providing comprehensive preventive care, managing common and complex chronic conditions, diagnosing diverse illnesses, and coordinating specialist care for adults, serving as a central point of contact for ongoing health needs across the whole family. Dr. Mieras serves patients 18 years and older and is currently welcoming new patients. Please call (210) 705-5600 to schedule an appointment.
With over 35 years of dedicated experience, Dr. Mieras brings a wealth of clinical knowledge and care to his patients. He earned his degree from University Of Texas Health Sciences Center At San Antonio Long School Of Medicine in 1987. Dr. Mieras is committed to a collaborative, evidence-based approach to medicine, emphasizing a supportive environment where patients and their families feel heard and empowered in their healthcare decisions. He strives to create a trusting relationship with each patient, ensuring individualized care tailored to their specific needs. Dr. Thomas Mieras provides consultations primarily in English.
A strong patient-provider partnership is the foundation of effective healthcare. Dr. Mieras is committed to being a partner in your health journey, focusing on practical strategies to protect your health and well-being.
Dr. Mieras's approach to internal medicine care is patient-centered and comprehensive. He provides thorough preventive care, manages chronic conditions effectively, and skillfully diagnoses a wide range of illnesses. As a central point of contact, he coordinates specialist care, ensuring seamless transitions and addressing all aspects of his patients' health needs in a personalized manner.
By working together, you and Dr. Mieras can create a clear, actionable plan that respects your individual needs and healthcare goals.
Also Accepts These Carriers
- APCN Choice POS II
- Aetna
- Aetna HMO
- Blue Advantage HMO
- Blue Choice
- Blue Cross Blue Shield
- Blue Cross and Blue Shield of Texas
- Blue Essentials HMO
- BlueCard PPO
- CareFirst BlueCross BlueShield
- Choice Care Network PPO
- Choice Care PPO
- Choice POS
- Choice Plus POS
- Choice Plus POS II
- Cigna
- Cigna HMO
- Cigna PPO
- Elect Choice (Open Access) EPO
- First Health
- First Health (Coventry Health Care) PPO
- HMO Premier HMO
- HealthyBlue Advantage
- Humana
- LocalPlus
- Managed Choice (Open Access) POS
- National POS
- Navigate HMO
- Navigate Plus POS
- Nexus Open Access
- Open Access Plus
- Open Choice PPO
- Options PPO
- Preferred PPO
- Premier Care Network Plus - Innovation Health
- Signature Administrators PPO
- UnitedHealthCare
As your primary healthcare provider, Dr. Mieras offers expert diagnosis and management for a wide range of common health conditions. Common areas of focus include:
- Diabetes Type 2: An internist can diagnose and treat type 2 diabetes, a condition affecting how your body processes sugar, by prescribing medications, recommending dietary changes, and monitoring your blood sugar levels.
- Polymyalgia Rheumatica (PMR): Characterized by pain and stiffness in the shoulders, hips, and neck, PMR is a condition an internist can effectively manage through medication and monitoring.
- Arthritis: Internists play a key role in managing arthritis by prescribing medications, recommending physical therapy, and monitoring your condition over time.
- Cellulitis: An internist plays a key role in managing cellulitis by identifying the infection, prescribing appropriate antibiotics, and monitoring your progress to ensure complete recovery.
- Actinic Keratosis: Actinic keratosis is a common, rough, scaly patch on the skin caused by sun exposure, and an internist can help diagnose and treat it, sometimes recommending removal to prevent skin cancer.
- Bronchitis: Bronchitis causes inflammation in your airways, making it hard to breathe. An internist can help diagnose this and develop a treatment plan to ease your symptoms.
- Chronic Neck Pain: Persistent neck pain affecting your daily life? An internist can diagnose the cause, such as poor posture or a medical condition, and develop a personalized treatment strategy.
- Abdominal Pain: Experiencing persistent or severe abdominal pain? An internist can help determine the cause and develop a personalized treatment plan to manage your discomfort.
- Hair Loss: Hair loss, or alopecia, can be caused by various factors, and an internist can help determine the underlying cause and recommend treatment options.
- Laryngitis: Laryngitis, characterized by a sore throat and voice changes, can be effectively managed with the help of an internist who can assess and treat the condition.
- Perimenopause: Internist doctors help women navigate perimenopause, a period of changing hormone levels before menopause, by addressing symptoms such as irregular periods, sleep disturbances, and weight fluctuations.
- Essential Tremor: If you experience uncontrollable shaking, it could be essential tremor; your internist can diagnose this condition and create a treatment plan.
This list represents some of the common conditions treated. An accurate diagnosis and a personalized care plan can only be developed through a direct consultation with a qualified medical professional.
To provide comprehensive and patient-centered care, Dr. Mieras offers a range of services designed to diagnose, manage, and treat various health concerns:
- Chronic Care Management: This service focuses on proactively managing your long-term health conditions, coordinating care with specialists, and improving your overall well-being.
- Electrocardiogram (EKG): An EKG is a painless test that records the electrical signals from your heart, providing valuable information to diagnose heart conditions and guide treatment.
- Wellness Examination: Your doctor uses a wellness exam to monitor your health, detect any changes, and recommend steps to maintain good health.
- Lumbar Puncture: A lumbar puncture, or spinal tap, is a procedure where a needle is inserted into your lower back to collect a sample of cerebrospinal fluid to help diagnose conditions affecting your brain and spinal cord.
- Insulin Therapy: Insulin therapy is a treatment option for diabetes that helps to avoid complications like heart disease, kidney disease and nerve damage.
- Body Composition Measurement: Understanding your body composition can help your doctor assess your risk for conditions like heart disease, diabetes, and obesity.
- Ultrasound, Thyroid: This painless test uses ultrasound technology to visualize your thyroid gland, allowing your doctor to assess its size, shape, and any abnormalities.
Service availability can change. To understand which services are appropriate for your specific health needs, please schedule a consultation to develop a personalized care plan.
All medical services are provided in accordance with the standard scope of practice for their professional license in Texas.
Dr. Mieras is dedicated to partnering with patients to achieve their unique health objectives. The following examples illustrate how proactive care can make a tangible difference in a patient's life:
- By following a personalized treatment plan, a patient successfully managed their type 2 diabetes, leading to improved energy levels and a greater sense of control over their health.
- After receiving a clear diagnosis and treatment plan, a patient with Polymyalgia Rheumatica (PMR) experienced significant relief from pain and stiffness, allowing them to return to a more active lifestyle.
- After receiving a clear diagnosis and personalized treatment plan, a patient successfully managed their arthritis symptoms, leading to improved mobility and reduced pain. By working closely with their internist, they regained a sense of control over their health and daily life.
These scenarios are illustrative examples of positive health outcomes. Individual results vary and depend on many factors. He will work with you to define and achieve your personal health goals.
- Primary Location:
CHRISTUS Trinity Clinic - San Antonio Preventive & Diagnostic Medicine
2829 Babcock Rd Ste 500, San Antonio, TX, 78229
Phone: (210) 705-5600
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- University of Texas Health Sciences Center at San Antonio Long School of Medicine (Medical School) - 1987
Here are answers to some common questions about receiving Internal Medicine care with Dr. Mieras:
- What is the difference between an Internal Medicine doctor and a Family Medicine doctor?
- Internal Medicine physicians, or Internists, specialize in adult healthcare (typically age 18 and older). They receive extensive training in diagnosing and managing complex adult illnesses and chronic conditions. Family Medicine physicians, in contrast, provide care for patients of all ages, including children.
- I have multiple chronic conditions, like heart disease and diabetes. Is an Internist a good choice for me?
- Yes. Managing multiple chronic conditions is a core strength of Internal Medicine. Dr. Mieras is an expert in understanding how different adult diseases interact and can coordinate all aspects of care, including medications and specialist visits, to create a cohesive health plan.
- How do you coordinate care with my other doctors, like my cardiologist or surgeon?
- Dr. Mieras serves as the central coordinator for your care, managing referrals to specialists like your cardiologist or surgeon. We review all reports and ensure that all treatments and medications work together safely and effectively. We'll also make sure everything is properly documented and communicated.
- I have a set of confusing symptoms that other doctors haven't been able to diagnose. Can an Internist help?
- Yes, an internist can be very helpful. Internists are highly trained in diagnosing complex medical conditions, often considered "medical detectives." Dr. Mieras is skilled at evaluating vague or unusual symptoms to arrive at an accurate diagnosis.
- Can you help me manage my medications?
- Yes. Medication management is a critical part of internal medicine, especially for patients with multiple conditions. Dr. Mieras will review all of your prescriptions (even those from specialists) to check for interactions, ensure proper dosing, and simplify your regimen whenever possible.
- Do you only treat sick patients, or do you also focus on preventive care?
- Dr. Mieras' practice emphasizes preventive care as a major focus. A significant portion of our work involves adult wellness and disease prevention, including annual physicals, managing risk factors, and providing recommended screenings.
- What kind of adult immunizations do you provide?
- Dr. Mieras provides common adult vaccines, including the annual flu shot, tetanus boosters (Tdap), shingles (Shingrix), and pneumonia (Prevnar/Pneumovax) vaccines. She will review your immunization history and recommend vaccinations based on your age, health status, and CDC guidelines.
- Should I see an Internist for a common illness like a sinus infection?
- Yes, Dr. Mieras is fully equipped to diagnose and treat common illnesses like sinus infections. As your primary care provider, she can address a wide range of adult health concerns, including acute infections.
2829 Babcock Rd Ste 500
San Antonio TX 78229
Phone: (210) 705-5600
Thomas Mieras, MD is regulated by the Texas Occupations Code, Title 3, Subtitle B (Physicians - Medical Practice Act) in Texas and is licensed by The Texas Medical Board.
National Provider Identifier (NPI): 1578564787
Registration can typically be verified through The Texas Medical Board website or by direct inquiry.
The information on this profile, provided by kellysearch.com, is for informational purposes to help you connect with local healthcare providers. It does not constitute direct medical advice from the provider named. Healthcare providers like Dr. Thomas Mieras are trained to manage a wide range of health concerns. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. Always consult with a qualified medical professional for any health concerns or before making any decisions related to your care plan.