Cardiology
Heart disease, chest pain, arrhythmias, and high blood pressure that needs advanced care
Get in touch
At times, your health needs may go beyond what primary care can provide. When that happens, Alamo Primary Care is here to guide you forward. Our referral process connects patients in San Antonio and Boerne quickly and confidently with trusted specialists who can take a closer look and offer advanced support, while your primary care team stays involved every step of the way.
We maintain strong relationships with specialists across San Antonio, Boerne, and the surrounding area. Once we understand your needs, we’ll help identify the right expert and coordinate every step of the process. Our referral network includes:
Heart disease, chest pain, arrhythmias, and high blood pressure that needs advanced care
Migraines, seizures, memory concerns, numbness, and nerve disorders
Skin cancer screening, chronic skin conditions, and suspicious moles
Joint pain, sports injuries, fractures, and back and spine problems
Cancer diagnosis, treatment, and ongoing care
Colonoscopy, digestive disorders, and liver conditions
Complex diabetes, thyroid disorders, and hormone conditions
Prostate concerns, kidney stones, and urinary issues
Asthma, COPD, and breathing or sleep disorders
OB-GYN care and advanced gynecologic concerns
Blood counts, clotting concerns and blood disorders
Rehabilitation after injury, surgery or for ongoing pain
Foot and ankle care, including diabetic foot concerns
Arthritis, autoimmune and inflammatory joint conditions
Eye conditions, vision changes and surgical referrals
We refer to a wide network, so if the specialist you need is not listed, ask us
Your primary care provider evaluates your symptoms, history, and test results.
We recommend trusted providers who match your condition, concerns, insurance, and location preferences in San Antonio or Boerne.
We send the referral and securely share your medical records, lab results, and imaging.
We help you know what to bring, what questions to ask, and what to expect.
We follow up with the specialist and review their findings with you, so your care stays continuous.
A referral isn’t just about handing off your case. Your Alamo Primary Care provider remains your central point of contact, ensuring your health records are shared securely, recommendations are coordinated, and nothing falls through the cracks between providers. That way, your care stays continuous and cohesive.

When it’s time to go beyond primary care, we’re right beside you, helping you feel supported every step of the way.
Google Reviews
Alamo Primary Care
We are thrilled with our first visit here. Everything moved very quickly and efficiently, as they seem to have a very effective team of employees. The appointment lasted approximately 1 hour, and that included new patient intake forms, vitals, seeing the doctor and getting labs done. I love how fast the process went, while also feeling seen, heard and feeling like our concerns were valid and taken seriously. The receptionists were all very friendly, inviting and helpful, including Delilah, who checked us out and set our next appointment. Finding a new primary care provider can be quite overwhelming and time consuming, but not here, and the services offered go above and beyond anything we expected. We look forward to future visits with this practice.
Alamo Primary Care has the BEST staff! From the moment I walked in, I had such a great experience as a new patient. I’m especially thankful they were able to get me in for a same day appointment. Im finally feeling like I’m getting the answers I’ve been looking for. Highly recommend!
We came in to establish care with my new PCP, Dr. Vishal, and his staff were absolutely wonderful! Everyone was so informative, patient, and thorough throughout the entire process. I’m so happy that I made the change and feel confident knowing I’m in such great hands. Thank you, Dr. Vishal and team, for making us feel so welcomed and cared for!
I’ve had a great experience with Alamo Primary Care. Everyone in the office has always been friendly, welcoming, and willing to help. The front desk ladies are always kind and make everything easy, whether it’s scheduling appointments or answering questions. The doctor takes the time to listen and explain things without making you feel rushed, and the PA has been just as helpful and knowledgeable. It’s nice to go to a doctor’s office where you feel like they actually care about their patients. Highly recommend!
My senior mother had an appointment there today and let me know how well every member of your staff treated her from beginning to end. I appreciate your professionalism, empathy and amazing bedside manner. I’m happy to know she felt comfortable and in good hands. Highly recommend! Respectfully, patients daughter.
I had an excellent experience with this doctor and their entire office staff. From the moment I walked in, I was greeted warmly and treated with kindness and professionalism. The front desk team was efficient and helpful, making the check-in process smooth and stress-free. The doctor took the time to listen carefully to my concerns, explained everything clearly, and made sure I felt comfortable with the treatment plan. I never felt rushed, and it was clear that they genuinely care about their patients’ well-being.
I had a very positive experience at this primary care office. The staff was friendly, professional, and made me feel comfortable from the moment I walked in. Dr. Vishal Nemargommula took time to listen carefully to my concerns, answered my questions thoroughly, and never made me feel rushed. He was very kind, professional and easy to talk to. I especially appreciated how respectful and understanding everyone was during my visit. The office was clean, organized, and the overall atmosphere was welcoming.
This was my first time at this location and I was pleasantly surprised at every turn of this appointment. The front staff were incredibly welcoming and equally as funny. I’m a nervous talker so they humored me and it helped me calm down a lot. The doctor was punctual and very thorough for a first time visit which was a pleasant surprise. He had several follow up questions about each of my concerns and gathered more information as well as educated me more than any physician I’ve seen on a first visit. Excellent first impression and visit.
I cannot say enough good things about my experience with Dr. Vishal. From the moment I walked in, I felt comfortable from the check in with the ladies up front to the medical assistants in the back! He talked to me, not at me. He listened to my concerns, asked thoughtful questions, and made me feel validated. He came highly recommended and I never felt one ounce of regret. It’s such a relief to finally have a primary care doctor who makes you feel seen and heard. 10/10 recommend!
Very nice customer service it was a very pleasant visit of what I was dreading to be bad news. Every single nurse had a great attitude and made me feel very comfortable and welcomed. I’m glad I found this place and it’s only 5 minutes away from me. Plus they do IV therapy!!! Also the receptionist were awesome Andrea, Jen, Delilah were so nice to my kids they gave them Christmas light up necklaces because my kids asked for stickers. Great people
Patients in Boerne can get a specialist referral by scheduling a visit with their primary care provider at Alamo Primary Care. After evaluating your needs, your doctor recommends a trusted specialist, sends the referral, and securely shares your medical records to coordinate care.
Start with a visit to your primary care doctor. Alamo Primary Care evaluates your symptoms and connects San Antonio patients with trusted specialists in cardiology, neurology, dermatology, orthopedics, oncology, and other fields, coordinating the referral from start to finish.
It depends on your insurance. Many HMO/PPO plans require a referral from your primary care provider before seeing a specialist. Alamo Primary Care can help patients in San Antonio and Boerne understand their plan’s referral requirements.
Primary care doctors can refer patients to cardiologists, neurologists, dermatologists, orthopedic specialists, oncologists, gastroenterologists, endocrinologists, urologists, and pulmonologists. Alamo Primary Care maintains a trusted specialist network across San Antonio, Boerne, and the Hill Country.
Wait times vary by specialty and provider, ranging from a few days to several weeks. Alamo Primary Care sends referrals promptly and coordinates with specialists in San Antonio and Boerne to help patients get seen as soon as possible, especially for urgent needs.
Yes. Alamo Primary Care stays connected with your specialist, receives updates and test results, and reviews findings with you. Patients in Boerne and San Antonio keep their primary care provider as the central point of contact for coordinated, continuous care.
Yes. Alamo Primary Care recommends trusted specialists based on your condition, insurance, and preferences, but patients in San Antonio and Boerne are welcome to request a specific provider or location that suits them best.
Bring your photo ID, insurance card, referral information, a list of current medications, and any questions you have. Alamo Primary Care securely sends your medical records and test results to the specialist ahead of your visit.