Feel the difference with us

Patient Direct
No Copay
Primary Care Clinic

Family Medicine

Pediatrics and Adult Primary Care Clinic

Women's Health

Women Wellness Exams

Telehealth

Appointments Availale

Primary Care Clinic Always Ready to Help You

Call or Text for an Appointment

(915) 455-1119

5500 Doniphan Dr. Suite 202
Inside Rio Grande Pharmacy

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Why Choose Big Tree of El Paso as your primary care clinic

We Offer Membership Based Primary Care

Low Cost Meds

200 Medications included with membership, rest at cost

Top Level PROVIDERS

Experienced and dedicated professionals ready to serve

Low Cost Labs

In house blood draws and other procedures

24 / 7 Access to care

On demand primary care 24 hours a day, 7 days a week through the Spruce App

Flexible Scheduling

Same day telehealth appointments

Comprehensive Services

Chronic care management and integrative medicine

Meet Our Providers

Professional & Enthusiastic

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Tanya V. Marin, DNP, APRN, CPNP-PC/AC

Dedicated Certified Pediatric Nurse Practitioner with over 20 years of pediatric experience and a background in Pediatric Intensive Care, Emergency Hospitalist, and Pediatric Primary Care.
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Mayedel San Jose, DNP, APRN, FNP-C

Mayedel San Jose is a proud Filipina American who began her nursing career in New Jersey as a licensed practical nurse in 2005.
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Franco Lopez III RD CDCES

Franco Lopez III, a seasoned Clinical Dietitian and Diabetes Specialist dedicated to guiding individuals toward Type II diabetes remission and optimal metabolic health.
Primary Care Coverage & Pharmacy Access for El Paso Residents

Protect Yourself and Your Family
With Our Primary Health Care Memberships

Little tree membership

$70

/ Month

Pediatric Membership*

As a member of our little tree plan your child or children will receive unlimited interactions at our in-person clinics or through our app.

*3 month minimum commitment required

*Age requirement is 17 years or younger

*At least one adult must have a Big Tree Membership

  • Up to 5 children within the same family under one price

Virtual membership

$55

/ Month

*3 month minimum commitment required

  • Unlimited virtual appointments.
  • Message your care team via our app or text message.
  • Same day virtual appointments.
  • Virtual access to any Big Tree Program
  • Primary care-based management of acute conditions such as the common cold, chronic conditions such as diabetes and asthma and mental health conditions including depression, anxiety, etc.
  • Access to our members only pharmacy with over 200 medications free of charge or at highly discounted prices.
  • Access to Medication Mail delivery at discounted prices (outside El Paso city limits).
  • Wholesale lab costs.

Unlimited membership

$70

/ Month

Al the benefits of the Virtual Membership PLUS:

  • Unlimited in-person appointments.
  • Rapid tests such as flu, strep and urinalysis, and when necessary, treatment free of charge or at highly discounted prices.
  • Access to any Big Tree medical program such as our medical weight loss program.
  • Access to our members only pharmacy with over 200 medications free of charge or at highly discounted prices PLUS: access to Cialis or Viagra (4 pills per month free of charge).
  • Wholesale lab costs.
  • Eligible to enroll your children in the Little Tree Membership Membership*

Ultimate

$100

/ Month

Al the benefits of the Virtual Membership and the Unlimited Membership PLUS:

  • Access to Cialis or Viagra (10 pills per month free of charge).
  • Access to city wide medications delivery service (within El Paso city limits.
  • Access to Medication Mail delivery free of charge (outside El Paso city limits).
  • Testosterone treatment at $25 per shot.
  • Wholesale lab costs.
  • Access to our infusion program with one IV bag per month free of charge.
  • Eligible to enroll your children in the Little Tree Membership Membership*

Tips & Tricks

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Download Spruce Medical App

  • June 1, 2024
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Phentermine

  • May 30, 2024
  • 131 views
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Vitamin/Mineral Recommendations: Duodenal Switch, Roux-en-y

  • May 29, 2024
  • 401 views

FAQs

What is Patient Direct Primary Care?

Direct Primary Care (DPC) is a patient-centered healthcare model that cuts out insurance middlemen. Patients pay a monthly fee directly to their primary care physician, receiving unlimited access to personalized care. This approach fosters stronger doctor-patient relationships, reduces administrative burdens, and often leads to more comprehensive, affordable healthcare solutions.

How Do I Enroll?

Follow the links on this page to choose your plan and purchase online or come in and sign up in person.

How Do I Access My 24/7 Virtual Care?

Download the Spruce medical app* and create your credentials or log-in to access virtual care.

*You must have a smart phone to access the app.

Is There Really No Copay?

Yes there is no copay! Your membership entitles you to medical care with no copay.

Lowering the Cost of Healthcare One Friend at a Time

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