The Medical Opinion Marketplace

Arpit K. Agarwal, MD, is a pediatric cardiologist with expertise in advanced cardiac noninvasive imaging and the care of children with congenital and acquired heart disease. He completed his medical degree at King George’s Medical University in Lucknow, India, followed by a pediatric residency at Maimonides Infants and Children’s Hospital in Brooklyn, New York. He pursued fellowship training in pediatric cardiology at Jackson Memorial Hospital in Miami, Florida, and further advanced his specialization with additional training in cardiac imaging at the University of Texas Health Science Center at Houston. Dr. Agarwal’s clinical and academic work focuses on advanced imaging, clinical informatics, and innovative technologies that support precision care, including 3D modeling and 3D printing, as well as the application of artificial intelligence in pediatric cardiology and congenital heart disease. He holds an academic appointment as an Associate Professor at Case Western Reserve University School of Medicine. In addition to his clinical practice, Dr. Agarwal serves in health system leadership roles in clinical informatics, including Chief Medical Informatics Officer and pediatric cardiologist, and has held hospital leadership responsibilities supporting pediatric clinical systems. He is also an Associate Editor for Pediatric Cardiology at Frontiers in Pediatrics.

Dr. Garry W. Wright is a clinical neuropsychologist who provides comprehensive neuropsychological assessment for children and adolescents. He is board certified by the American Board of Professional Psychology in Pediatric Clinical Neuropsychology. Dr. Wright’s clinical interests include neurobehavioral outcomes associated with congenital cytomegalovirus (CMV), acquired brain injury, persistent post-concussive symptoms, and pediatric performance validity testing. His approach emphasizes careful, developmentally informed evaluation to clarify diagnoses, understand cognitive and behavioral strengths and challenges, and guide practical recommendations for home, school, and medical settings. Dr. Wright completed undergraduate training in psychology at Purdue University and earned a master’s degree and an Educational Specialist (Ed.S.) degree in counseling psychology at the University of Kentucky. He completed predoctoral internship training at Nationwide Children’s Hospital. He is fluent in American Sign Language (ASL) and has a particular interest in supporting youth with hearing differences and their families. Dr. Wright is also active academically and has served in editorial leadership as a co-editor of a psychology publication.

John Morehead, MD, is a facial plastic surgery physician in the Department of Otolaryngology–Head & Neck Surgery at UT Health San Antonio. He provides comprehensive ENT and facial plastic surgical care, with clinical interests spanning facial trauma and nasal fractures, facial nerve disorders, nasal obstruction and allergies, sinus disorders, and skull base conditions. Dr. Morehead also evaluates and treats a wide range of ear-related concerns, including hearing loss, ear infections, and dizziness or balance disorders, as well as head and neck tumors and salivary gland disorders. His practice further encompasses sleep apnea and snoring, throat and laryngeal disorders, voice and swallowing concerns, and disorders of the thyroid and parathyroid glands. Dr. Morehead earned his medical degree from the University of Texas Southwestern Medical School. He completed residency training at Keesler USAF Medical Center and pursued fellowship training at The University of Texas Health Science Center at San Antonio. He is board certified by the American Board of Otolaryngology, and his credentials also include board certification as listed in plastic surgery and reconstructive disciplines. In addition to patient care, Dr. Morehead has a university research profile with scholarly publications.

Jason C. Miller, DO, is a board-certified psychiatrist based in San Antonio, Texas. He serves as Chief Clinical Officer and Managing Partner at Athra Systems and is the founding physician behind Southtown Psychiatry, which evolved into Crosstown Mental Health. Dr. Miller completed psychiatric training at The University of Texas Health Science Center at San Antonio (UT Health San Antonio) and brings experience across military, private, and forensic psychiatry settings. In addition to his clinical work, he is Residency Training Director for psychiatry at UIWSOM TIGMER, reflecting a commitment to physician education and the development of high-quality mental health care. Prior to his current roles, Dr. Miller served in the United States Air Force, retiring as a Lieutenant Colonel and serving during the Afghanistan War. His varied background informs a thoughtful, structured approach to psychiatric evaluation and treatment, with attention to the needs of individuals navigating complex personal, medical, and occupational stressors. Dr. Miller is recognized for integrating evidence-based care with practical, patient-centered decision-making to support long-term mental wellness.

Daniel Gutierrez, DO, is a neurological surgery physician in San Antonio, Texas. As a Doctor of Osteopathic Medicine, Dr. Gutierrez brings a patient-centered approach to the evaluation and surgical management of complex disorders of the brain, spine, and nervous system. He is listed as board certified in neurosurgery on multiple public provider directories. With approximately 37 years of experience reported in public clinician directory listings, Dr. Gutierrez offers extensive clinical perspective, emphasizing careful diagnosis, thoughtful surgical planning, and clear communication so patients and families understand their options. His practice is associated with Daniel E Gutierrez DO PLLC in public provider listings. Dr. Gutierrez is committed to delivering attentive, evidence-informed care, focusing on safety, outcomes, and continuity throughout the surgical journey—from initial consultation through postoperative recovery and follow-up. Patients value an approach that prioritizes individualized decision-making, respect for patient goals, and collaboration with referring clinicians and other specialists when needed.

Michael Berler, PhD, is a Texas-licensed psychologist who provides evidence-based psychological care for adults in the San Antonio area. He brings advanced clinical training to his work, including fellowship training at Baylor College of Medicine/Texas Children’s Hospital and an internship at VAMC–Fresno. Dr. Berler’s approach is grounded in Cognitive Behavioral Therapy (CBT), helping patients identify unhelpful patterns of thinking and behavior and develop practical skills to support meaningful, lasting change. He collaborates with each patient to create a personalized treatment plan focused on clear goals, measurable progress, and strategies that can be applied in daily life. Patients can expect a professional, supportive environment that emphasizes respect, confidentiality, and active partnership in care. Dr. Berler also offers telehealth appointments, providing flexible access to services when in-person visits are not feasible. Services are provided in English.

Barbara A. MacNeill, DMD, is a Texas-licensed dentist and Clinical Assistant Professor at UT Health San Antonio School of Dentistry in the Department of Predoctoral Dental Education. She also serves in leadership as Assistant Dean of Clinics and provides program direction as Director of the Advanced General Dentistry Clinic and Assistant Director of the Advanced Education in General Dentistry program. Dr. MacNeill earned a BS in Chemistry, a BA in Theatre, and an MS in Chemistry from Lehigh University, followed by her DMD from the University of Pennsylvania School of Dental Medicine. She completed a two-year General Practice Residency at UT Health San Antonio School of Dentistry and served as Chief Resident. Her professional interests include comprehensive general dentistry, clinical education, and patient safety, reflected in her authorship of a continuing education module on infection prevention. She is a member of the Medical-Dental Staff in Hospital Dentistry at University Health System and has served as Principal Investigator on a HRSA Ryan White Part D grant supporting dental care for women and young adults living with HIV. Dr. MacNeill is a Fellow of the Academy of General Dentistry and is active in organized dentistry and dental education organizations. She has received multiple teaching-related recognitions for excellence in clinical instruction.

Salvador Baylan, MD, is a physician specializing in Physical Medicine & Rehabilitation (PM&R), with a focus on helping patients improve function, mobility, and quality of life through comprehensive, non-surgical care. He is board certified by the American Board of Physical Medicine & Rehabilitation and practices in San Antonio, Texas at San Pedro Health Center. Dr. Baylan earned his medical degree from the University of Santo Tomas Faculty of Medicine and Surgery in the Philippines and completed postgraduate fellowship training in Physical Medicine & Rehabilitation at the University of Texas at San Antonio. He has also served on the faculty at the University of Texas at San Antonio as an Assistant Professor, reflecting a commitment to education and the advancement of rehabilitation medicine. In addition to clinical practice and teaching, Dr. Baylan has held leadership roles within organized medicine, including service as President and Chairman of the Texas Medical Association Section of Physical Medicine & Rehabilitation and as President of the Philippine American Physiatrist Association. He is a member of the Texas PM&R Society and the American Academy of Physical Medicine & Rehabilitation, and is affiliated with Methodist Hospital Atascosa.

Paul T. Mayer, MD, is a physician specializing in Emergency Medicine, caring for patients in San Antonio, Texas. Dr. Mayer completed residency training in Emergency Medicine through the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) and pursued additional fellowship training in Emergency Medicine at the University of Texas Southwestern Medical Center. His clinical background is grounded in the fast-paced, high-acuity environment of emergency care, with a focus on timely evaluation, stabilization, and treatment of a wide range of urgent and emergent conditions across diverse patient populations. In addition to his work in emergency medicine, Dr. Mayer is publicly listed as board certified in both Emergency Medicine and Addiction Medicine. He also serves as Medical Director at Blue Heron Recovery in San Antonio, reflecting a leadership role that supports coordinated, evidence-informed care for individuals navigating substance use and related health concerns. Dr. Mayer is committed to compassionate, patient-centered care, emphasizing safety, clear communication, and practical treatment planning in both acute and recovery-oriented settings.

James Phalen, M.D., is a pediatrician with subspecialty expertise in Developmental-Behavioral Pediatrics. He is board certified by the American Board of Pediatrics in Pediatrics and in Developmental-Behavioral Pediatrics. Dr. Phalen earned his medical degree from the Uniformed Services University of the Health Sciences (F. Edward Hébert School of Medicine) and completed pediatric residency training at Keesler Medical Center. He pursued advanced fellowship training in Developmental-Behavioral Pediatrics at The Children’s Hospital/JFK Partners in Denver. Dr. Phalen provides evaluation and care for children with developmental and behavioral concerns, partnering closely with families to understand each child’s strengths, challenges, and support needs. His practice reflects a thoughtful, evidence-based approach to developmental assessment and guidance. In addition to clinical care, Dr. Phalen serves as an Adjunct Professor of Pediatrics at UT Health San Antonio and has been described as a Clinical Professor of Pediatrics at the Uniformed Services University. He is a member of the American Academy of Pediatrics and has contributed to professional education through involvement with the AAP PREP Developmental-Behavioral Pediatrics editorial board. Dr. Phalen is bilingual in English and Spanish.