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The Premack Law Office: A Certified Elder Law Attorney Since 2003, Practicing in Two States

Paul Premack has been a Certified Elder Law Attorney since 2003 — more than two decades — and is also a Geriatric Scholar through the University of Texas Health Science Center in San Antonio, an academic credential most estate planning attorneys never pursue. He practices simultaneously in Texas and Washington State, a dual-jurisdiction setup unusual for a solo practitioner. This profile is part of Awesome Attorneys’ coverage of San Antonio estate planning attorney options.

At a Glance

Origin & Background

Premack earned his J.D. from the University of Houston and has been a Certified Elder Law Attorney through the National Elder Law Foundation since 2003 — a certification the ABA and the Texas Board of Legal Specialization both accredit. He is a Geriatric Scholar via the University of Texas Health Science Center in San Antonio, a specific gerontology-focused academic credential. He is a founding member of the Council of Advanced Practitioners of the National Academy of Elder Law Attorneys (NAELA), a NAELA member since 1989, and served as Past-President of the Texas Chapter of NAELA. He is a Life Fellow of the San Antonio Bar Foundation and a Fellow of the Texas Bar College, and is licensed to practice in both Texas and Washington State.

San Antonio Estate Planning Attorney Practice Concentration

Premack’s practice spans estate planning for individuals, couples, and families of all ages, probate administration for surviving heirs, and elder law specifically — Medicaid and public benefits counseling, long-term care planning, and disability-related legal issues. His combined estate-planning and elder-law focus, paired with his Geriatric Scholar credential, positions his practice specifically toward clients navigating aging-related legal and financial planning rather than estate planning generally.

Track Record

Premack’s public materials emphasize his sustained certification and peer recognition rather than an itemized case-outcome list, typical of estate and elder law practice. Estate and elder law planning outcomes depend on each client’s specific circumstances; past experience does not guarantee any particular result for a new client.

Client Voice

Premack holds an Avvo Client’s Choice Award and a 4.7-star aggregate rating. Reviews describe consistent client satisfaction and availability, with the firm’s aggregated review summary noting clients “attest to the excellent and helpful services they have received” and describing Premack’s “understanding advice, and all-time solution availability.” Awesome Attorneys did not identify a pattern of negative reviews for Premack during this research.

Beyond the Courtroom

Premack received the Barbara F. Kishpaugh Award from the San Antonio Bar Association’s Elder Law Section, recognizing specific contributions to San Antonio’s elder community — a locally-conferred, subject-specific honor rather than a general marketing award. He has also written a legal column for Hearst Newspapers, with an archive maintained on his own site, reflecting a sustained public-education role alongside his client practice.

Recognition

Premack’s Certified Elder Law Attorney credential — held continuously since 2003 and accredited by both the ABA and the Texas Board of Legal Specialization — is the credential this profile treats as most significant. His AV Preeminent Martindale-Hubbell rating and Thomson Reuters Super Lawyer designation are both peer-review-based recognitions layered on top of that specialty certification.

Texas Legal Backdrop

Medicaid planning for long-term care, a core part of Premack’s elder-law practice, requires navigating both federal Medicaid eligibility rules and Texas’s specific implementation, including the state’s five-year Medicaid “look-back” period for asset transfers, which can trigger a penalty period of ineligibility if assets were transferred below fair value shortly before applying. Guardianship matters for incapacitated adults proceed under the Texas Estates Code, which requires a court finding of incapacity and imposes ongoing reporting obligations on an appointed guardian — a more court-supervised alternative to the powers of attorney Premack’s practice also handles for clients who plan ahead before incapacity occurs.

Awesome Attorneys Assessment

The Premack Law Office’s clearest differentiator is depth in elder law specifically: a Certified Elder Law Attorney credential held for over two decades, a Geriatric Scholar academic credential, NAELA leadership roles including a state chapter presidency, and a specific San Antonio Bar Association award for elder-community contribution all point toward genuine specialization in aging-related legal planning rather than general estate planning with elder law added on.

The honest trade-off is one worth naming for any solo, dual-state practice: capacity and scheduling across two states’ caseloads is worth asking about directly, and the firm’s practice is explicitly focused on estate, probate, and elder law — clients with unrelated legal needs would need separate counsel. For elder law and Medicaid planning specifically, this is among the more deeply credentialed solo practices in San Antonio.

Methodology & Sourcing

This profile was compiled from the firm’s own website (premack.com), Super Lawyers’ attorney profile, Justia’s attorney directory listing, the State Bar of Texas attorney locator, and aggregated client reviews via TrustAnalytica and Avvo. Statutory and regulatory references were checked against the Texas Estates Code and general federal Medicaid eligibility rules as published. No case results, credentials, or quotes were invented; the quoted review material is attributed to its original source.

Publisher Disclosure & Independence Notice

Awesome Attorneys is an independent legal directory and editorial publication. This profile was not paid for, commissioned, or reviewed by The Premack Law Office prior to publication. Awesome Attorneys may in the future offer sponsored placements clearly labeled as such, but no payment of any kind determines inclusion in, or the content of, this editorial profile. This article is for informational purposes only, does not constitute legal advice, and does not create an attorney-client relationship between the reader and Paul Premack or Awesome Attorneys.