More Than Medicine - Complete Care for Mind & Body!

About Us

Meet Dr. Robert G. Szewc, M.D., FASN

Dr. Robert G. Szewc (pronounced “Chefs”) is a board-certified nephrologist and interventional nephrologist with over 25 years of experience serving the San Antonio community. His mission is to preserve, maintain, and when possible, reverse kidney failure through advanced treatment, preventative care, and patient education.
He is passionate about helping patients navigate the difficult journey of kidney disease and transplant, combining a holistic and conventional approach to deliver individualized care that improves both health and quality of life.

Dr. Szewc continues to dedicate his work to patient care, community education, and mentoring the next generation of physicians.

Meet Mariana Vela, Exercise Physiologist

Mariana Vela is a dedicated exercise physiologist specializing in targeted fitness programs designed to improve quality of life and support patients managing chronic health conditions. She earned her Bachelor’s degree in Exercise and Sports Science with a focus on Health and Wellness Promotion for Clinical Populations from Texas State University in 2019, followed by hands-on training at Methodist Hospital’s Cardiopulmonary Rehabilitation Center.

Her experience spans cardiac and pulmonary rehabilitation as well as physical therapy, but her true passion lies in exercise physiology, where she empowers patients through education, personalized exercise plans, and long-term lifestyle changes. In 2023, Mariana partnered with Dr. Robert Szewc to launch San Antonio’s first Renal Rehabilitation program, which has already helped patients improve strength, health, and overall well-being.

Mariana also leads MEFIT: Your Comprehensive Health Optimization Program, combining custom workouts, nutrition planning, and wellness strategies to help patients achieve sustainable, long-term results.
Her mission is simple: to help patients regain strength, restore vitality, and live healthier, more active lives.

Aki Runion, APRN, FNP-C
Originally from Japan, Aki Runion brings a unique blend of international experience and advanced clinical training to her role as a Family Nurse Practitioner. She began her academic journey in Japan, where she earned her undergraduate degree in Information Systems before launching her career as a network engineer at MCI. Driven by a passion for healthcare, Aki transitioned into nursing and went on to earn her Master of Science in Nursing with a focus on Nursing Administration from United States University. She further advanced her expertise by completing a Post-Master’s degree as a Family Nurse Practitioner at the University of Texas at Arlington. Aki is highly specialized in preventive medicine, wellness, and family practice, and holds certifications in weight loss, anti-aging, dermatology, and hair restoration. Her diverse background allows her to combine cutting-edge medical training with a patient-centered approach, helping individuals achieve optimal health, confidence, and overall well-being. With a strong commitment to lifelong learning and holistic care, Aki empowers her patients to take proactive steps toward healthier, more vibrant lives.

Meet Our Team

Dr. Robert Szewc

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Danial Manesh DNP

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