Texas Urology Group, PA was founded in 2015 by Dr. Ian M. Thompson III out of a sense of a need to establish a platform from which a more personalized approach to urologic care could be delivered. 

Our Story

Medicine in the United States has undergone a lot of changes over that past few years.  Much of the change has been a result of passage of the Affordable Care Act.  Increasing mandates from CMS and insurance companies have increased the overhead for most physicians to the point that they have to pack their clinics with patients just to break even and keep the doors open.  As a result there is less time for cultivation of the doctor-patient relationship.  There has been an ever increasing intrusion from the federal government and third party payors (insurance companies). They are often the uninvited guest or third-wheel when it comes to the doctor-patient relationship.  Texas Urology Group was founded in an effort to re-establish the importance of the doctor-patient relationship. 

Born and raised in San Antonio, Texas, Dr. Ian Thompson III has called San Antonio home for most of his life.  A graduate of Keystone school, he completed his undergraduate studies at Texas A&M University and then returned to San Antonio for medical school at UTHSCSA.  He completed his general surgery and urologic surgery training at Vanderbilt University in Nashville, TN and then returned to San Antonio to complete a fellowship in urologic oncology at UTHSCSA.  He then took a faculty position at UTHSCSA as Assistant Professor in Urologic Oncology.  After serving on faculty for over 2 years, Dr. Thompson opened his private practice.

Dr. Thompson's primary focus in his practice is on providing compassionate, quality care to all of his patients.

Outside of clinical medicine, he enjoys spending time with his family. He is a member at First Baptist Church San Antonio (fbcsa.com) and always offers an open invitation for folks to join him downtown for worship on Sunday mornings or to tune in live on TV, Channel 13 (ABC) at 11 am.

In July, 2023 Texas Urology Group was excited to announce the addition of Dr. Andrew C. James to the practice.

Andrew James, M.D. is a urologic oncologist who specializes in the surgical management of urologic malignancies in addition to treating general urology conditions.  Before joining Texas Urology Group, he was on faculty at the University of Kentucky since 2014.  He served as Associate Professor within the Department of Urology and Chief of the Division of Urologic Oncology while at UK.

Dr. James graduated from the University of Arkansas for Medical Sciences in 2007 and then completed his urology residency in 2012 at the University of Kansas, School of Medicine in Kansas City.  He subsequently completed his fellowship in Urologic Oncology at the University of Washington in Seattle. He specializes in open and laparoscopic/robotic-assisted surgery for the treatment of kidney, bladder, prostate, testicular, penile and adrenal malignancies. He is board certified by the American Board of Urology and a member of the Society of Urologic Oncology and American Society of Clinical Oncology.

Outside of clinical practice, Dr. James enjoys spending time with his wife and three young children.