Internal Medicine Prevention and Wellness
Dr. David Miloy MD
830.895.5599 1411 Water St. Kerrville, Tx 78028



  We’re thrilled to be offering you secure video visits.  While we love it when you visit us in the office, we understand that it’s not always convenient to do so and some issues can be handled remotely.  Video visits allow you to receive the quality care without taking time off work or making the…

Internal Medicine/Chronic Disease Management

Internal medicine is a specialty branch of medicine pertaining to the prevention, diagnosis, treatment, and management of diseases affecting adults over the age of 18.  Doctors who practice internal medicine are known as ‘internists’ and often serve as a patient’s primary care provider.  Internists may work together with other physicians to ensure patients are getting…

Adult Physicals

Each year patients will be offered a comprehensive physical exam.  Adults who get annual physicals are more likely to discover potential health complications before they become serious and they are more aware of the importance of lifestyle choices and how they affect overall well-being. EKG, urinalysis will be performed along with stroke, low bone mass…

Weight Loss Counseling

Weight loss counseling and treatment is done via the Balance MD program which has evolved during my 20 years of practicing Internal Medicine.  This program empowers you on how to eat, exercise and teaches you the skills to respond to relapse rapidly and effectively.  Balance MD is designed to achieve quick and permanent weight loss.

Affordable Laboratory Services

Optimum Health has arranged for affordable laboratory services for our members through Clinical Pathology Labs in Kerrville 1008 Sidney Baker Street Kerrville, TX 78028 Phone: (830) 895-2803 Although lab services are not covered in your Optimum Health fee, these prices will lead to significant savings and no sudden surprises in lab fees.  CPL can provide…


Cryotherapy is the freezing of a skin lesion using liquid nitrogen.  This is a simple procedure conducted in the office and usually takes 10-15 seconds per lesion.  For suspicious lesions that may be skin cancer, prompt dermatology referral will be made.


Vaccinations are life-saving medical tools recommended and used for the prevention of dangerous and deadly diseases. Vaccines work by introducing controlled and weakened infections into the body, encouraging the immune system to create natural antibodies that will defend the body against possible future infections. Although children are subject to the most complex vaccination schedule, immunization…