meet our providers

NARCISO GONZALEZ III, MD

A native of the Rio Grande Valley, Dr. Gonzalez completed his undergraduate work at The University of Texas at San Antonio. He is a member of numerous professional associations including the American Society of Anesthesiology, Bexar County Medical Society, American Society of Regional Anesthesiology, and the Texas Pain Society.

Dr. Gonzalez specializes in advanced fluoroscopic and ultrasound guided procedural interventions to treat all types of pain syndromes. From bursal injections to kyphoplasty for vertebral compression fractures he is skilled in most advanced pain procedures. Dr. Gonzalez believes in taking a multi-modal approach for all patients. He will never turn down the opportunity to treat a patient even with the most long-standing difficult to treat pain syndromes. He understands the value of using an individualized comprehensive multi-modal approach for each patient.

The most important role Dr. Gonzalez maintains is being a husband and father. He and his wife have 3 kids together. He loves spending his free time outdoors with his family and is also a hunting and fishing enthusiast.

Narciso Gonzalez III M.D. is double boarded Physician in Anesthesiology and Pain Management who earned his medical degree from the University of Texas Health Science Center at San Antonio.


ISAAC ZOCH, MD

A native of San Antonio, Dr. Zoch attended Trinity University for his undergraduate degree in Biochemistry and Molecular Biology. He was involved in organic chemistry research throughout his undergraduate time where he further solidified his desire to pursue a career in medicine. He obtained his medical degree at the University of Texas Health at San Antonio. Dr. Zoch later pursued residency training in Anesthesiology at the same institution, where he was given the distinct honor of being named Chief Resident his final year of training. Upon completion of residency, he further specialized in Pain Management here in San Antonio. 

Dr. Zoch focuses on advanced fluoroscopic and ultrasound guided procedural interventions to treat all types of pain. From joint injections to kyphoplasty and spinal cord stimulation, he is well versed in advanced pain procedures. In addition to his many accomplishments, he aspires to maintain a caring and compassionate approach with his patients.

“Every patient is different, with their own unique story. My goal is to design an individualized, comprehensive treatment plan to help each and every one of my patients in order to achieve the best outcome possible. I will never shy away from the opportunity to care for a patient who is in pain.”

In his spare time, Dr. Zoch enjoys spending time outdoors. He is an avid fisherman and hunter and loves to play golf and tennis. He also enjoys exploring the San Antonio area with his wife through hiking, local cuisine, and other outdoor activities. 


Dove A. Cruz, MSN, APRN, FNP-C

Dove A. Cruz, FNP-C was born and raised in Houston, TX. She moved to San Antonio, TX in 2009 to pursue her Bachelor of Science in Health from the University of Texas in San Antonio. Her passion towards helping others and providing compassionate care to patients geared her towards earning her Bachelor of Science in Nursing where she graduated Summa Cum Laude. During her time as a Registered Nurse, she gained nursing experience by working with patients in neurosurgery, neuro telemetry, medical surgical, rehabilitation and other units in various hospitals across San Antonio, TX. While working in acute care, she was able to carefully listen to her patients’ needs and be their advocate when it came to managing their pain. During her clinical rotations, Dove assisted with performing trigger point injections in a primary care clinic which involved patients of all ages.

Dove earned her Master of Science in Nursing with a specialization in Family Nurse Practitioner in 2022 from the University of Texas at Arlington and is certified by the American Academy of Nurse Practitioners as well as maintains active membership with the AANP. Dove also maintains active and current Basic Life Support and fluently speaks English and Spanish.

Aside from being an NP, Dove’s most important role in life is being a loving wife to her husband, and a caring, fun mom to her 3 children. In her free time, she enjoys reading to her 3 little ones, cooking, watching comedy movies, and spending time with her 4 maltipoos.


Regina M. Tengler, FNP-C

Regina “Gina” M. Tengler, FNP-C, joined the Pain & Spine team in June 2024. Originally from Houston,TX, Gina moved to San Antonio with her family in June 2000. Gina attended Texas Tech University (GoRed Raiders!) for her undergraduate education and went on to pursue her advanced practice education and certification with University of Texas at Arlington. 

Gina is dedicated to helping others and brings years of varied clinical experience in several disciplines including women’s health, labor and delivery, and primary care. She believes in a holistic approach to medicine, understanding that the physical, emotional and social aspects of health are interconnected. Gina’s dedication to her patients is matched only by her love for friends and family. When not working to help her patients, Gina can be found playing matchbox cars with her energetic 3-year-old son, relaxing on the patio with her husband, spoiling her nieces and nephews, or organizing weekly game-night dinners with friends and family. 

Whether it's through her work in healthcare or her personal life, Gina is driven by a strong sense of care, empathy, and commitment to the well-being of those around her. Her philosophy in both work and life is centered around kindness, wellness, and continuous learning, which makes her a trusted professional and friend and a valued member of the SA Pain & Spine team.

"They have been a blessing in my life"

"Dr. Gonzales, the PA's & his staff make me feel cared for & safe. I'm a DV survivor so feeling safe is important. Dr. Gonzales, the PA's I've seen & the staff has treated me with kindness, respect & compassion. They have been a blessing in my life. They care about people." 

-Kimberly Mair