Dr. Loretta L. Grumbles reviewing a patient chart in her Galveston clinic

Internal Medicine · Galveston, Texas

Care with intention.

Board-certified internal medicine on Galveston Island — preventive care, chronic disease management, and diagnostics delivered with the unhurried attention that lifelong health deserves.

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The Practice

A clinic built around long conversations.

For over two decades, Dr. Grumbles has cared for the families, fishermen, students, and retirees of Galveston Island — meeting them where they are, in the language they understand.

Exam room at Dr. Grumbles' Galveston clinic with natural light and medical equipment

Dr. Grumbles' primary exam room, rebuilt after Hurricane Ike in 2008.

Dr. Loretta L. Grumbles, MD, trained at the University of Texas Medical Branch here in Galveston before completing her internal medicine residency at Baylor. She returned to the island in 2003 and has practiced on Postoffice Street ever since — first from a rented suite above a pharmacy, then from the freestanding clinic she designed in 2011.

The practice is intentionally small. We cap our patient panel below the regional average so that appointments run thirty minutes, not twelve. Annual physicals include a real conversation about sleep, motion, mood, and meals — not just a printout of lab values. Chronic conditions like hypertension, type 2 diabetes, and thyroid disease are managed with quarterly check-ins rather than annual scrambles.

We draw labs on-site, send imaging to the Galveston Diagnostic Center two blocks away, and refer to specialists at UTMB when a case requires it. Most of our patients walk to their appointments. A few arrive by ferry from the Bolivar Peninsula. All of them are seen the same day they call with an urgent concern.

22yrs

On Galveston Island

30min

Standard appointment length

1,400

Active patients in our panel

Services & Pricing

What we treat, and what it costs.

Transparent pricing for self-pay patients. Most major insurance accepted — PPO, Medicare, and Medicare Advantage. Indicative fees below reflect typical self-pay rates before any insurance adjustment.

$185self-pay

Annual Wellness Exam

A 45-minute preventive physical including blood pressure, cardiovascular screening, age-appropriate cancer checks, and a personalized health plan. Includes review of family history and lifestyle.

PreventiveAnnual45 min

$95self-pay

Chronic Disease Management

Quarterly follow-up for hypertension, type 2 diabetes, hyperlipidemia, and thyroid conditions. Includes medication adjustment, lab review, and coordination with specialists when needed.

DiabetesHypertension30 min

$45per panel

On-Site Laboratory

CBC, comprehensive metabolic panel, lipid panel, HbA1c, TSH, and vitamin D drawn in-clinic. Most results available within 24 hours through our patient portal.

Same-day draw24hr results

$120self-pay

Same-Day Urgent Visit

Acute concerns — respiratory infections, minor injuries, rashes, urinary symptoms — seen the same day you call. Brief focused exam, in-house testing, and prescriptions as needed.

Walk-in OK20 min

$220self-pay

ECG & Cardiac Screening

12-lead electrocardiogram with same-visit interpretation, plus cardiovascular risk assessment including ASCVD score calculation. Referrals to cardiology arranged within 48 hours when indicated.

ECGASCVD risk

$160self-pay

Geriatric Care Consultation

Comprehensive 60-minute assessment for patients 65 and older — medication review, cognitive screening, fall risk, and advance care planning. Family members welcome to attend.

65+60 minCare plan

Hours & Booking

Schedule a visit.

Same-day appointments available for acute concerns — call before 10am. New patient paperwork can be completed ahead of time through the form below.

Clinic Hours

Monday8:00 AM – 5:00 PM
Tuesday8:00 AM – 5:00 PM
Wednesday8:00 AM – 5:00 PM
Thursday8:00 AM – 5:00 PM
Friday8:00 AM – 12:00 PM
SaturdayUrgent only
SundayClosed

Walk-ins accepted Mondays and Wednesdays from 8:00 to 9:30 AM. After-hours urgent concerns are triaged through our answering service.

First name

Last name

Phone

Service requested

Preferred date

Reason for visit

We'll confirm by phone within one business day. For urgent same-day visits, please call the clinic directly.

The Practice

Inside Postoffice Street.

A short walk from the Strand, the clinic occupies the ground floor of a restored 1904 commercial building — original pine floors, modern equipment, and quiet rooms built for conversation.

Waiting area with exposed brick walls and natural light at Dr. Grumbles' clinic — Waiting room — original 1904 brick, restored 2011

Exam room interior with medical equipment and patient chair — Exam Room 2

Dr. Grumbles reviewing patient records — Dr. Grumbles, MD

Detail of clinic interior with vintage architectural elements — Hallway looking toward Postoffice Street

Begin

Health is a long
conversation.

Whether you're new to Galveston, looking for a primary care physician who knows your history, or simply due for an annual physical — we'd be glad to meet you. Use the form above, or reach us through any of the channels below.

The clinic is located in the East End Historic District of Galveston, two blocks from the Strand and a fifteen-minute walk from UTMB. Patients visiting from the Bolivar Peninsula should call ahead — ferry delays can affect same-day appointments.

Postoffice Street, Galveston, TX Call the clinic Patient portal