1st Med

1st Med, PLLC is a family‑medicine practice in El Paso, TX that has embraced the Direct Primary Care model to give patients personalized, affordable primary care. Led by board‑certified Dr. Caleb Janosz, the practice focuses on building long‑term relationships with each family, offering the time and attention often missing in traditional settings. Their philosophy centers on treating the whole person—newborns, adults, and seniors alike—while keeping care simple, transparent, and cost‑effective.

Patients join for a flat $90 monthly membership that covers unlimited office visits, same‑day appointments, and direct access to the physician via phone or text. The practice also provides telemedicine visits, chronic disease management, preventive care, and minor procedures, all designed to keep families healthy without surprise bills. By eliminating insurance billing for primary care, 1st Med can spend more time with patients and offer near‑wholesale pricing on labs and medications when needed.