Black Pearl Medical
Verified listingAbout Black Pearl Medical
What is Black Pearl Medical?
Black Pearl Medical is an integrated practice founded and led by Dr. Juliet Gatobu, DNP, PMHNP-BC, who is the prescriber named on the practice. It has three service areas: psychiatry and mental wellness, advanced wound care, and aesthetic and regenerative medicine. The medically supervised weight management program, which uses semaglutide or tirzepatide, sits in the last area, alongside peptide therapy, NAD+ IV therapy, and Botox and dermal fillers.
Wound care is mobile and brought to patients' homes in San Antonio. In its own words: "Psychiatry services are available via secure telepsychiatry for Texas residents."
The practice names San Antonio and Austin, TX, and surrounding areas as its service area, and its articles refer to a clinic in South Austin. It does not publish a street address or office hours. Dr. Gatobu has served patients for over 11 years, and the practice has a Google rating of 5 from 8 reviews.
What does it cost?
It does not publish prices for any of its services. Its one stated entry point is a free phone consultation. In its own words: "We offer a free 15-minute phone consultation to ensure we are the right fit for your needs before you commit to a full session."
It describes itself as a self-pay clinic and says it does not bill commercial insurance plans directly. Its booking menu also lists a Use Insurance option through Headway, so ask which services, if any, are billed to insurance. It does not say whether medication is included in any price. It does not publish membership terms, cancellation rules, or financing options.
What should you ask before you book?
Ask who writes and monitors the prescription for semaglutide or tirzepatide, and how often you would be seen. Ask whether the fee for the program includes the medication, since the practice does not say. Ask whether the drug is an FDA-approved brand or a compounded version. Its article on the two medications says compounded versions are prepared by pharmacies and are not FDA-approved, and it suggests asking which pharmacy prepared a product.
Ask what follow-up visits and lab work cost, and how cancellation and refunds work. For psychiatry, ask whether visits are billed to insurance, and confirm you are a Texas resident before booking telehealth.
Who is it a good fit for?
This is a good fit if you live in Texas and want psychiatry by telehealth, or if you want a prescriber-led weight management program in San Antonio or Austin and are willing to get prices and medication terms in writing before you start. The free 15-minute call at 254-307-8218 is worth calling about first.
Sources: black-pearl-medical.com, black-pearl-medical.com/about-us, black-pearl-medical.com/service/psychiatry-mental-wellness, black-pearl-medical.com/insurance-fees, black-pearl-medical.com/contact-us
Services Offered
What we confirmed
Read off Black Pearl Medical’s own website on 2026-10-27. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “Medically-supervised weight management program using GLP-1 therapies (Semaglutide/Tirzepatide).” source
- ✓Hormone therapy — listed on their site as “Identity-Affirming Care: Gender Dysphoria, including psychiatric evaluations and medication support for hormone therapy.” source
- ✓Peptide therapy — listed on their site as “Regenerative treatments including peptide therapy, and NAD+ IV therapy.” source