Primary Care Associates

Finding a family care physician can be a challenging process, but at Guadalupe Regional Medical Group (GRMG) we try to make things as easy as possible. All our family practice physicians can take care of your entire family, whether infants, children, teens, adults or seniors. By being able to care for your whole family, it’s not only convenient for you, but it also provides the physician an ongoing family medical history. In a community like Seguin, we love to take care of our patients and their families – now, and well into the future.

Meet Our Providers

Brett Earnest, MD
830.433.7815

Carolyn Noyes, DNP, FNP-C
830.484.4200

Frank Wright, MD
830.484.4200

Haley Smith, FNP
830.433.7815

Lance Montgomery, DO
830.433.7030

Abby Steck, MSN, FNP-C
830.484.4200

Brett Earnest, MD

To make an appointment with Dr. Earnest, please call 830.433.7815.

Dr. Brett Earnest is a board-certified Primary Care Physician who has been caring for families in the New Braunfels community since 2012. He earned his medical degree from The University of Texas Southwestern Medical Center and completed his residency at The University of Colorado with training in women’s health and obstetrics. Dr. Earnest went on to receive his Family Medicine Obstetrics Fellowship through UT Southwestern in Austin. Dr. Earnest aims to deliver effective, efficient, and personalized care that acknowledges each patient as an individual. He enjoys caring for the whole family, from newborns to senior care.

Frank Wright, MD

To make an appointment with
Dr. Wright, please call 830.484.4200.

Dr. Frank Wright was born and raised in Laredo where he began his career as a family physician caring for patients of all ages. He is very familiar with Central Texas as well, having obtained his undergraduate degree at Texas State University and completed medical training at University of Texas Medical Branch at Galveston. His desire to integrate into a collegiate, well connected medical community and to rededicate himself to long term primary care relationships with his patients has led Dr. Wright to find his professional home in Seguin. Dr. Wright specializes in comprehensive family care including adult, gynecologic and geriatric care, as well as occupational medicine. In addition to the wealth of medical expertise Dr. Wright also speaks Spanish fluently.

Lance Montgomery, DO

To make an appointment with Dr. Montgomery, please call
830.433.7030

Dr. Lance Montgomery completed his medical training at the University of North Texas Health Science Center Texas College of Osteopathic Medicine, followed by residencies at acclaimed clinical and training healthcare facility John Peter Smith in Forth Worth, Texas. Originally from Gonzales, Dr. Montgomery and his wife look forward to coming back to the Seguin area to establish roots and serve the community.

CAROLYN NOYES, DNP, FNP-C

To make an appointment with
Carolyn Noyes, DNP, FNP-C, please call 830.484.4200.

Carolyn Noyes, DNP, FNP-C, is a board certified family nurse practitioner. She earned her Doctorate of Nursing Practice from the University of Massachusetts after working as a registered nurse for almost 8 years. Carolyn has worked in a variety of inpatient and outpatient settings including cardiology, corrections, forensics, and pediatrics. She grew up in the Northeast and has also lived in Central America (Nicaragua) where she became fluent in Spanish. In her spare time she loves to scuba dive, hike, and play with her fluffy dog.

ABBY STECK, MSN, FNP-C

To make an appointment with Abby Steck, MSN, FNP-C, please call 830.484.4200.

Abby Steck, MSN, FNP-C, is a Certified Family Nurse Practitioner for GRMG Primary Care Associates. Abby received her Bachelor of Nursing and Masters of Nursing from the University of Texas at Arlington. Her clinical background includes over 7 years of nursing experience in emergency medicine and the intensive care unit (ICU). Abby is dedicated to providing primary care with her knowledge and skills gained through experience in emergency and intensive care settings. Her goal is to deliver compassionate care by committing to the community of Seguin and surrounding areas through preventative care and health education.