Dr. Zack Smith Voted One of San Antonio’s Top Pain Management Physicians in 2025

Dr. Zack Smith, recognized as one of San Antonio’s Top Doctors in 2025 for Pain Management, standing with award badge.
San Antonio Magazine January-February 2025 cover featuring Top Doctors, including Dr. Zack Smith as one of the 502 best physicians in San Antonio.

In a list recently published by San Antonio Magazine, Dr. William Zachary Smith was voted a Top Pain Management Physician by his peers in the San Antonio area.

Using an online survey, San Antonio Magazine solicited peer nominations from physicians in the greater San Antonio area, asking them to nominate up to three doctors per practice area they would trust with their medical care or the medical care of their family. To ensure the nomination process is peer-based, doctors were asked to limit their nominations to physicians whose work they’ve personally witnessed. San Antonio Magazine then tallied the results, selecting the top percentage of vote recipients in each practice area before submitting the final list for fact-checking, which includes a review of good standing among medical boards.

Dr. Smith is honored to be included in this list alongside his talented peers in Pain Management and other specialties.

September 4th 2026

Dear Painsmith Patients

Re: Important Notice: Closure of The Painsmith, PLLC and Transfer of Your Medical Records

On August 3rd, 2026, I sent out notices that I would unfortunately be unable to continue practicing at Painsmith to the same high standard that my patients deserve. I also indicated that we were talking with other local pain management physicians regarding who would be best able to serve my patients moving forward. I have been able to locate another local practice that I feel meets or exceeds the level of care and has the capacity to take on additional patients. My top priority remains making sure your care continues without interruption.

To that end, I have arranged for ReleviiMed, led by Dr. Manuel Ybarra, M.D. and a team of providers, to serve as the custodian of medical records for our patients going forward, and I strongly recommend you reach out to ReleviiMed to continue your care. Their physicians have reviewed our practice’s treatment approach and are prepared to take on our patients, including those with ongoing pain management plans, without a gap in care.

CLICK HERE FOR FULL LETTER

Thank you,

William Zachary Smith, MD
The Painsmith, PLLC