The nation's oldest and largest freestanding emergency room system.

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First Choice Emergency Room

Northwest San Antonio LOCATION


5530 Tezel Rd

San Antonio, TX 78250


Open 24 Hours


(210) 437-1180


First Choice Emergency Room is the nation’s leading freestanding emergency room system; it is both largest and the oldest. First Choice Emergency Room facilities are innovative, freestanding, and fully equipped emergency rooms with state of the art diagnostic technology (CT Scanners, Ultrasound, Digital X-ray) and on-site labs. All First Choice Emergency Room locations are exclusively staffed with board-certified emergency physicians and emergency trained registered nurses.

Our Northwest San Antonio ER is located at the corner of Tezel and Culebra, next to HEB.


Stephen Paulson, MD, FACEP

After graduating from Southwest Texas State University, Dr. Paulson received his medical degree from The University of Texas Medical School At Houston. He completed his emergency medicine residency at the Denver Health Medical Center where he served as Chief Resident. Prior to joining First Choice ER, Dr. Paulson served as an emergency physician for the United States Air Force, and most recently for Emergency Physician Affiliates staffing the San Antonio area Baptist Hospitals. He currently lives in the Texas Hill Country with his wife and three sons.