Performance Medicine
Verified listingAbout Performance Medicine
What is Performance Medicine?
Performance Medicine is a medical practice on the second floor at 16320 Huebner Rd. in San Antonio, Texas 78248. The phone number is (210) 201- 5235. It leads with concierge-style memberships and also offers peptide therapy, hormone therapy, neurotoxins (Botox), IV therapy and injectables, aesthetics and skin care, a SECA body composition scan and hypoxia training. It does not name a medical weight loss (GLP-1) service.
Dr. Ryan Joseph, DO, is the medical director and co-founder. He spent over a decade in emergency medicine before founding the practice. The other prescribers are Karina Owens, APRN, FNP-C, MSN, and Garrett Dyer, APRN, FNP-C, MSN. Registered nurses and a health and nutrition coach also work at the practice, but they are not listed as prescribers.
Walk-ins are welcome. Hours are Monday and Wednesday 8am to 1pm, Tuesday and Thursday 1pm to 6pm, Friday 1pm to 5pm and Saturday 10am to 2pm. Google shows the practice rated 5 from 13 reviews. Patients must be located in Texas.
What does it cost?
Memberships are the only prices published. Precision is $3,000/year, Executive is $6,000/year and Reserve is $10,000/year. Each is a concierge package covering medical care, advanced diagnostics, hormone optimization, recovery, nutrition and longevity strategy. Whether a hormone or peptide medication is included in the membership is not stated. Unused services may expire based on the terms given at purchase.
It does not publish prices for hormone or peptide therapy, and it does not state a consultation fee. The only payment option named is a payment plan through Cherry. It does not say whether it accepts insurance.
What should you ask before you book?
Ask which prescriber will sign your hormone or peptide prescription and how often you will see that person. Ask whether your membership fee covers the medication or whether medication is billed on top, and what it costs each month.
For peptides, ask which licensed pharmacy compounds the order. The practice describes these as compounded medications and states, "They are not FDA-approved or FDA-cleared drugs." Ask what that means for your plan before you start. For hormone therapy, ask whether the medication is brand-name or compounded.
Ask what follow-up visits and the ongoing lab monitoring cost. Ask whether any part of your care can be done by telehealth, since that is not stated. Ask whether a membership can be refunded, since sales may be final unless otherwise stated. Ask about the late cancellation fee, since appointments must be canceled at least 24 hours in advance.
Who is it a good fit for?
This is a good fit if you live in Texas, can reach the San Antonio office during its hours, and want a membership or cash-pay hormone or peptide plan with the medication cost written out before you pay. If medical weight loss is your main reason for calling, ask about it first, since no GLP-1 medication is named.
Sources: performancemedicinemd.com, performancemedicinemd.com/services, performancemedicinemd.com/about, performancemedicinemd.com/about-1-1, performancemedicinemd.com/terms-and-conditions
Services Offered
What we confirmed
Read off Performance Medicine’s own website on 2026-10-11. These are their words, not ours.
- ✓Hormone therapy — listed on their site as “Hormone replacement (estrogen, progesterone, testosterone)” source
- ✓Peptide therapy — listed on their site as “We use clinically guided peptide protocols to support growth hormone optimization, metabolic efficiency, fat loss, recovery, and longevity—all backed by labs and physician oversight.” source
- ✓Longevity / anti-aging — listed on their site as “Our memberships combine medical care, advanced diagnostics, hormone optimization, recovery, nutrition, and longevity strategy—all under one roof.” source
Hours
In-Office Hours: Walk-in's Welcome M/W: 8am-1pm T/TH: 1pm-6pm Fri: 1pm-5pm Sat: 10am-2pm