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John M. Cash, MD, is a dedicated and experienced physician who began his medical career as an Army medic, discovering a deep passion for patient care. He provides expert care to patients and medical oversight at HOOT HRT in San Antonio, Texas.

Dr. Cash's journey led him to the Saba University School of Medicine in The Bottom, Caribbean Netherlands, followed by a rigorous emergency medicine residency at Louisiana State University Health Science Center in New Orleans. Here, Dr. Cash distinguished himself as both a physician and a leader in the field of emergency medicine. His dedication to advancing medical knowledge is showcased by his certification from the Bio-Identical Hormone Replacement Therapy Training Academy.

Currently, Dr. Cash is a cornerstone of excellence at HOOT HRT and in the emergency department. Together with his co-founder, Joe Hamm, PA, he is committed to addressing the critical needs of patients dealing with metabolic health issues, weight loss challenges, and overall wellness. Their mission is to provide comprehensive, patient-centered care that truly makes a difference in patients' lives.

Dr. Cash's personal journey with hormone replacement therapy (HRT) provides him with unique insights into the shortcomings of primary care, especially concerning hormone imbalances and weight management. After experiencing significant improvements in his own quality of life through HRT, despite initial obstacles with primary care and insurance coverage, Dr. Cash is passionate about making these transformative treatments accessible to more men and women.

Joe B. Hamm, MPAS, PA-C, is an experienced physician assistant and the visionary co-founder and partner of HOOT HRT, a leading telehealth clinic based in San Antonio, Texas. With over 12 years of extensive experience, Joe is dedicated to delivering high-quality medical care with a specialized focus on hormone optimization and medically guided weight loss for both men and women.

At HOOT HRT, we provide a premium concierge like experience, ensuring unparalleled patient care and satisfaction. Our clinic is designed to address hormone dysfunction, offering personally tailored treatment plans to help you achieve optimal health and wellness.

Joe's comprehensive educational background includes a certificate of completion from the Emergency Medicine Physician Assistant Fellowship Program at Naval Medical Center in San Diego, California, a Master of Science in Physician Assistant Studies, and a Bachelor of Science from the University of Nebraska Medical College. Joe has also completed an extensive Bioidentical Hormone Replacement Therapy course and is a current hormone replacement patient. 

With a strong commitment to excellence, Joe's expertise is further honed through military and academic training. Recognized for academic excellence and a member of the Pi Alpha Honor Society, Joe has delivered numerous lectures on various medical topics as an Assistant Adjunct Professor with the University of Nebraska Medical College.

Outside of his professional endeavors, Joe enjoys golf, his family, F45 workouts, bowling, and Brazilian Jiu-Jitsu.

Michael Maloy, MD, believes that everyone deserves access to highly skilled medical practitioners in a setting designed for his patients’ comfort. Through his leadership role at Sigma Primary Care, Dr. Maloy provides unparalleled care, personalized to meet the needs of his patients in and around San Antonio, Texas.

Education has always been a central focus for Dr. Maloy. He began his studies at the University of Texas at San Antonio, earning his undergraduate degree in biology. He remained at UT San Antonio to complete his medical degree from the School of Medicine. 

Dr. Maloy completed his residency in internal medicine at the University of Texas Health Science Center-Regional Academic Health Center in Harlingen, Texas, where he then served as an assistant professor of medicine. 

He continues to seek out opportunities to expand his skills and knowledge through ongoing education. 

Dr. Maloy founded Sigma Primary Care in 2016. Over the years, the practice has become an invaluable resource to patients in the Central Texas region. They appreciate how the team takes time to get to know them and their unique set of health needs and goals. 

When not working with patients, Dr. Maloy can be found spending time with his family and enjoying time outdoors hiking in the San Antonio area. He also enjoys weight training as a means of staying healthy and active. 

John Vizuete, MD, MPH, in San Antonio, is an expert and board-certified gastroenterologist with a cutting-edge and innovative approach to the field.

Dr. Vizuete completed his undergraduate studies at the University of Texas in Austin and received his medical degree from the University of Texas Health Science Center in San Antonio. He completed a master’s degree in public health at the University of Texas School of Public Health in Houston.

Dr. Vizuete went on to complete his residency in internal medicine and a fellowship in gastroenterology at the University of Texas Health Science Center. In 2018, he joined the Gastroenterology Clinic of San Antonio.

Dr. Vizuete is committed to providing his patients with individualized care and spends the time necessary to understand the root cause and effects of each symptom. He recognizes that gastrointestinal health is complex and that sometimes a symptom can either be part of a much larger condition or a complex spiritual and emotional issue.

He is devoted to building long-lasting relationships with his patients and always makes himself available to answer their questions. In fact, when you establish care with him, you’ll get Dr. Vizuete’s personal email address for quicker responses and more personal treatment.

Dr. Vizuete is excited about current trends in his field and always strives to offer top-of-the-line, innovative, and interdisciplinary treatment to all of his patients.

Michael Maloy, MD, believes that everyone deserves access to highly skilled medical practitioners in a setting designed for his patients’ comfort. Through his leadership role at Sigma Primary Care, Dr. Maloy provides unparalleled care, personalized to meet the needs of his patients in and around San Antonio, Texas.

Education has always been a central focus for Dr. Maloy. He began his studies at the University of Texas at San Antonio, earning his undergraduate degree in biology. He remained at UT San Antonio to complete his medical degree from the School of Medicine. 

Dr. Maloy completed his residency in internal medicine at the University of Texas Health Science Center-Regional Academic Health Center in Harlingen, Texas, where he then served as an assistant professor of medicine. 

He continues to seek out opportunities to expand his skills and knowledge through ongoing education. 

Dr. Maloy founded Sigma Primary Care in 2016. Over the years, the practice has become an invaluable resource to patients in the Central Texas region. They appreciate how the team takes time to get to know them and their unique set of health needs and goals. 

When not working with patients, Dr. Maloy can be found spending time with his family and enjoying time outdoors hiking in the San Antonio area. He also enjoys weight training as a means of staying healthy and active. 

Dr. Ana Sauceda is a double board certified dermatologist who espcializes in medical and cosmetic dermatology. Dr. Sauceda has over 15 years of experience and extensive knowledge about skin conditions. Dr. Sauceda trains and oversees all other providers at Alamo City Dermatology. 

Dr. Hrncir brings more than 30 years of experience in allergy and immunology, pediatrics, and aerospace medicine to San Antonio Asthma & Allergy. He is the owner and a practicing physician. Dr. Hrncir began his profession in the U. S. Air Force Academy in Colorado Springs, Colorado. He went on to obtain his medical doctorate from the University of Texas Southwestern Medical School in Dallas. Before entering private practice, Dr. Hrncir served as chief flight surgeon in the Air Force. During his 26-year career, he received additional medical education at the Johns Hopkins School of Hygiene and Public Health in Baltimore, Maryland; David Grant Medical Center in Fairfield, California; The School of Aerospace Medicine in San Antonio, Texas; and Wilford Hall Medical Center, also in San Antonio, Texas. As a member of the U.S. Air Force, Dr. Hrncir also held positions as the chief of pediatrics, chief of allergy and immunology, and chief of aeromedical services.

Sports can be rough on joints and cartilage, especially shoulders, knees, and hips. Kelly Cunningham, MD, has cared for many young and mature athletes whose joints take a beating day in and day out. He welcomes patients from Austin, Texas, and its surrounding communities to experience the cutting-edge technology and skill offered by his team at Austin Ortho + Biologics.

Dr. Cunningham works with each athlete to develop an individual treatment plan that emphasizes the least invasive treatments possible with a goal of minimal recuperation and downtime. He combines rigorous standards and quality of care with experience and insight, integrating the best new techniques into the care of each patient.

His patients have included skilled athletes in football, basketball, baseball, and hockey, including members of the Dallas Cowboys at their Austin training camp, Austin Ice Bats hockey players, Southwestern University athletes, and many other college and high school athletes. He served for 15 years as a traveling team physician for the men’s alpine downhill US Olympic Ski Team, providing on-the-hill medical race coverage in North America and Europe, including qualifying races for the Winter Olympics.

As a sports medicine specialist, Dr. Cunningham also treats many seasoned weekend warriors such as runners, skiers (downhill, snowboard, and water), and tennis and golf enthusiasts.

After medical school and residency training in Dallas, he completed a sports medicine/knee fellowship with renowned orthopedic specialist Dr. Richard Steadman in Vail, Colorado, and underwent further shoulder training in England and Canada.

While with Dr. Steadman, the originator of the popular microfracture cartilage treatment technique, he developed a strong interest in the care of cartilage injuries and now has more than 20 years of experience with surgical microfracture and related procedures. In recent years, he has closely monitored cutting-edge techniques as they’re developed for use in these acute and chronic problems. He has closely monitored cutting-edge techniques as they’re developed for use in these acute and chronic problems including the use of biologics such as PRP (platelet-rich plasma) and Cell-Based (formerly "Stem Cell") therapy

 

Natacha Depeine is a veteran in the healthcare sector who is fueled by her ambition to provide patients with the best possible health outcomes. She began her professional career with Holy Cross Hospital as a Clinical Coordinator and gained extensive knowledge of ICU, management, case management, and EMR. Natacha developed a solid foundation in healthcare with a Diploma in Practical Nursing and has always pursued professional certification to keep upgrading her skillset, having eventually earned a Master of Science degree in Nursing. Natacha was eventually recognized as an Experienced APRN Professional and recently accepted an offer as a NP for the US DHHS, where she played a pivotal role in promoting and maintaining patient health for countless patients. During her 23 years of professional experience in nursing, Natacha has found her love for helping and mentoring other aspiring nurses. In her free time, Natacha tries to give back to the community and volunteers at free clinics.

Dr. Jasneet Riar is passionate about creating integrative patient-centered, quality-focused, transparent healthcare. She believes that each patient has unique healthcare goals and excellent care is rooted in a strong patient-physician relationship that is personalized to address those unique health needs.

After graduating Magna Cum Laude from a combined medical program at Manipal University (India) and American University of Antigua, Dr. Riar completed her Internal Medicine training in Baltimore, Maryland.

Dr. Riar has always maintained a strong focus on quality improvement while developing key leadership experiences. She was a finalist in the American College of Physicians (ACP) Oral research for quality improvement in Maryland and later represented the Maryland Chapter at the National ACP meeting.

Dr. Riar served at an Austin FQHC for 5 years in various roles from the subject matter expert in rheumatology, Clinic Lead, Associate Director of Primary Care to Director of Primary Care. From these vantage points, she has championed key aspects of Primary Care Model development and implementation.

Dr. Riar has her advanced certification in physician leadership and her healthcare MBA. She has hundreds of continuing education hours in multiple facial pain and esthetic courses and obesity management. She brings a deep passion and understanding of quality healthcare that is highly personalized. In addition to wearing her MD hat, Dr. Riar is also the heartbeat of Adminstrative Mangement and Human Resources at ATX Wellness Co and Lake Travis Dentistry. Her skillset extends beyond a physician's role. To learn more about her, schedule a free consult today!