Our team is uniquely capable of providing care through the spectrum of life. We each share a passion for preventative medicine and health maintenance, focusing on enriching the quality of life for every patient. We strive to keep you healthy and out of long wait times in a doctors office. When you are healthy, you are able to achieve your peak performance.   

The relationships we create help keep your medical costs down, keeps you off unnecessary medications, keeps you from having unnecessary procedures, and keeps you from wasting time and money. Most importantly, it keeps you healthier!

George Ivanovskis, MD


Former Chief of the Emergency Medicine Service at the Dallas Veterans Administration Hospital, responsible for 45+ direct-report personnel and managing one of the highest patient-volume VA ERs in the country. He is Board Certified in Internal Medicine and has 30+ years of clinical experience. He is also an Assistant Professor of Medicine at U.T. Southwestern in Dallas, actively teaching "the Art" of medicine. Dr. Ivanovskis is an Air Force Colonel serving in the Air National Guard and until recently the Air Surgeon, Headquarters Staff, Texas Air National Guard, providing medical oversight for Homeland Defense responses within the State. He received his MBA from the SMU-Cox Executive MBA program and holds a Bachelor of Science Degree in Medical Technology and certification in Aerospace Medicine.

Kevin Scully, PA-C, MPAS


Scully completed his physician assistant training at the University of North Dakota School of Medicine, a Master’s Degree at the University of Nebraska School of Medicine, and a Bachelor of Science Degree at the University of Texas System. He maintains specialization in Emergency Medicine and Surgery and has nearly 30 years of clinical experience. He is also an Adjunct Clinical Assistant Professor of Medicine at the University of North Texas Health Science Center in Ft. Worth. PA Scully is a highly decorated, retired Air Force Colonel with numerous combat deployments. He was extensively involved in the military humanitarian efforts for Hurricanes Katrina and Rita.

Sam Smith
General Manager


Sam has over 20 years of experience in business management and operations. For many years he worked in the Internet Service Industry. He held a variety positions to include: technical support, customer service, network operations, and sales engineering. He holds a Bachelor of Business Administration from the University of Texas at Tyler and has a Masters of Business Administration from Texas A&M University-Commerce. Sam is proud United States Marie Corps Veteran.

Crystal Porter
Medical Assistant


Crystal has more than 12 years experience in the medical field. She is a certified Emergency Medical Technician (EMT) and CPR instructor. Crystal is also serving as a Staff Sergeant in the Texas Air National Guard. She is looking forward to completing her Bachelor of Arts in Health Care Administration with Liberty University in the near future. Crystal and her husband, Matt, enjoy spending their free time with their adorable boys: Austin, Zachary, and Kohen.

Andrea Vasquez
Medical Assistant


Andrea is currently pursing an Associate of Arts degree in General Studies at Tyler Junior College (TJC). Upon completion of her AA is looking forward to being accepted into the Bachelor of Science in Nursing program at TJC.  An over achiever, she began her collegiate career early taking dual credit courses as a student at John Tyler High School.

Christi Dickson
Administrative Assistant

Christi has more than 20 years experience in medical administration. As a dedicated administrator, she has served in a multitude of roles, to include as an Executive Administrative Assistant for the UT Health System. She holds an Associate of Arts in General Studies from Tyler Junior College. Christi and her husband, Mark, enjoy spending their free time with their two children: Lucas and Reagan.

Kari Kietzer
Patient Billing Manager & Digital Marketer


Kari is a talented business manager with many years experience in non-profit and for-profit venues. As an independent consultant she has developed key curriculum and reports for the U.S. Military, NATO, and international NGOs. In her spare time, Kari serves as a Board Member for the Smith County Adult Protective Services and on the Delta Gamma Alumnae Advisory Board. 

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Monday - Friday          8:00 a.m. - 5:00 p.m.
Saturday                        Scully On Call
Sunday                           Scully On Call

5605 Old Bullard Road 

Suite B
Tyler, TX  75703

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