The reviewed business, San Antonio Gastroenterology Associates: San Antonio - Westover Hills, generally has a positive reputation with its patients. The average rating of 4.7 suggests that the majority of patients are satisfied with the services provided. However, there is one major issue that should be addressed by the management: the lack of coordination and communication among staff members, which can lead to scheduling conflicts and inconvenience for patients. For example, one patient had to reschedule their appointment after being told that the doctor was no longer available, despite being notified of the change via text message with the wrong address. Additionally, some patients have experienced difficulties with finding the office location, which can be attributed to the lack of clear directions or accurate information. Despite these issues, the office has received praise for its friendly and professional staff, including the doctors and medical assistants. Many patients have expressed their satisfaction with the care they received, citing their positive experiences with Dr. Franklin and PA Martinez. The office's wheelchair accessibility and LGBTQ+-friendly environment are also notable positives. However, the office's policies and procedures, such as the requirement to pay upfront for services not covered by insurance, can be confusing and lead to additional bills for patients. It is essential for the management to review and revise these policies to prevent similar issues in the future.