A small, steady team. Our physician assistants have worked beside Dr. Mignucci for 10 to 20 years, which means consistent answers and no starting over.
Many of your visits will be with Brian or Heather.
A physician assistant (PA-C) is a licensed clinician with a master’s degree in medicine who examines patients, orders and reviews imaging, and develops treatment plans in partnership with the surgeon. Brian and Heather work directly with Dr. Mignucci on every plan, so you get consistent answers whether you see him or one of them.
Neurosurgical Physician Assistant
Master of Physician Assistant Studies, Texas Tech University
Nearly 20 years with Dr. Mignucci
Brian has practiced alongside Dr. Mignucci in neurosurgery for nearly 20 years, providing knowledgeable and compassionate care to patients with neurological and spinal conditions. He is dedicated to helping patients feel well-informed, supported, and confident throughout their care.
Outside the office, he enjoys discovering new restaurants, traveling, and time with his wife and son.
Neurosurgical Physician Assistant
Master of Physician Assistant Studies, UT Health Science Center San Antonio
10+ years in neurosurgery
Heather has dedicated more than 10 years to neurosurgery, working alongside Dr. Mignucci to provide thoughtful, high-quality care. She takes pride in building trust and understanding with patients throughout their neurosurgical journey.
Outside the office, she enjoys astronomy, staying active, and quality time with her family.
Clinical and Surgery Coordinator
Scheduling surgery, pre-op instructions, and what to expect on the day.
Patient Financial Counselor
Insurance benefits, estimates, and billing questions before and after care.
Clinical Administrator, Windhaven Ambulatory Surgery Center
Your experience at our on-site surgery center.
Office Manager, Windhaven Medical Imaging
Imaging appointments, records, and sending your scans.
In most cases, new patients can be seen the same day.
