Find a Doctor

Dr. Ralph W. Noble III has been a general pediatrician since 1978. He attended medical school and completed his specialty training in pediatrics at UTMB. He is certified by the American Board of Pediatrics and is a fellow of the American Academy of Pediatrics. He has taught UTMB medical students and pediatric residents throughout his career.

Dr. Noble enjoys practicing general pediatrics. He has an interest in mind/body medicine, including breathing techniques, meditation, and exercises.

In the past, Dr. Noble has served as a clinic medical director, public school medical consultant, teaching a sex education course at one of Galveston's private schools, medical director of the Advocacy Center for Children of Galveston County, a member of the board of various Galveston community agencies. For several years he was an assistant scoutmaster of a Galveston Boy Scout troop.

 Provider is LGBTQIA+ Responsive

Dr. Wolffarth is an Assistant Professor of Pediatrics who enjoys clinical work and is actively involved in medical student education.

Dr. Wolffarth grew up in the Dallas and graduated from the University of North Texas with a degree in Chemistry. He attended medical school at UTMB and subsequently completed his residency in pediatrics at UTMB in 2011. He has been board certified in pediatrics since 2011.

Dr. Jennifer Caffey joined UTMB Pediatric Associates in 2009 after being in private practice for 5 years.  She completed her pediatric residency at UTMB in Galveston where she was Chief Resident.  She graduated from Texas A&M University with a Bachelor's of Science degree in Biomedical Science, and then earned her Doctor of Osteopathic Medicine degree from The University of North Texas Health Science Center at Fort Worth.  She is board certified by the American Board of Pediatrics and is a fellow of the American Academy of Pediatrics.

Dr. Caffey's practice focuses on caring for children of all ages.  She enjoys preventative medicine including maintenance of childhood immunizations, promoting safe environments for children, encouraging healthy eating and lifestyle habits, and advising families how to help promote normal development of their children's bodies and minds.  Dr. Caffey understands that a child's health is greatly improved with the active involvement of his or her family and encourages this by offering support to the entire family.  Her scope of practice includes patients from birth to 18 years old.  In addition to treating common childhood illnesses, she has experience caring for children with asthma, allergies, eczema, and numerous other illnesses.

Alma Chavez began her career as a licensed vocational nurse and worked with the indigent at Harris County Hospital District for 5 years. Striving to advance her skills, she received her Bachelor's of Science in Nursing from the University of Texas Health Science Center at Houston in 1999. It was then that she continued to work with the indigent spending eleven years as a specialty trained RN, providing well child exams to children of all ages. Her passion for patient care then drove her to earn her Master's of Science in Nursing from UTMB, specializing in family practice.

Alma is board certified as a Family Nurse Practitioner by the American Academy of Nurse Practitioners and joined the family of caregivers at UTMB Health Pediatrics, Texas City in 2012.

Dr. Marcela Navarro Holguin received her medical degree from Instituto de Ciencias de la Salud Medical School in Medellin, Colombia in 2002. She completed her residency in Pediatrics at The University of Illinois at Chicago in 2009.

After finishing this training, she went back to Colombia, where she established her own private practice. She also worked with Suramericana de Seguros(SURA) as a pediatrician in the urgent care setting. She decided to come back to the United States and join UTMB as Assistant Professor in February 2015.

Her goal is to give the best care possible to each and every one of her patients, helping them and their families during their times of illness, and be a support to families and children as they develop and grow.

 Provider is LGBTQIA+ Responsive

Dr. Kyralessa B. Ramirez joined the UTMB League City Pediatric and Adult Primary Care clinic in January 2012.  Prior to joining UTMB, she worked for 2 years in South Houston at a pediatric private practice.

Dr. Ramirez received her medical degree, Magna Cum Laude, from Instituto Tecnologico de Santo Domingo.  She attended the University of Texas Medical Branch, Galveston where she completed her pediatric residency in 2009.

Dr. Ramirez's clinical interests include the prevention and treatment of common pediatrics illnesses, specifically ear infections. She is interested in the treatment of eczema as well as other common skin disorders, preventive pediatrics and anticipatory guidance.  She enjoys helping new parents with their newborn babies, counseling them about breastfeeding and infant safety. Dr. Ramirez is fluent in English and Spanish.  She is married to Dr. Rafael A. Fonseca, a faculty member in the Department of Neonatology at UTMB, Galveston.  She enjoys taking care of a diverse population of patients.

My name is Nyajuok Wur. I am originally from South Sudan, born in Ethiopia, raised in Minnesota and currently living in Houston, TX. My passion for medicine began at a young age and my desire to help others continues. I chose family medicine because of the variety as well as the opportunity to work with people from all ages and backgrounds.

Hobbies outside of medicine include reading mystery books, international travel, and singing.

Dr. Raquel Mena received her medical degree graduating cum laude from the Universidad Nacional Pedro Henriquez Urena in Santo Domingo, Dominican Republic. She completed her pediatric residency at the University of Texas Medical Branch, Galveston.

Dr. Mena's philosophy of practice is to provide parents as much information as possible to promote healthy dietary and safety habits. She welcomes questions from parents.

She is fluent in both Spanish and French. Dr. Mena resides in the Clear Lake area. In her free time, Dr. Mena enjoys reading and traveling.

Dr. Saloni Majmudar joined UTMB Community Based Clinics in 1997. She is board certified by the American Board of Pediatrics. Dr. Majmudar completed her residency in Pediatrics at the University of Texas Medical Branch in Galveston. She earned her medical degree from King Edward Memorial Hospital and Seth G.S. Medical College in Bombay, India and received her higher secondary certificate exam in pre-med from D.G. Ruparel College University of Bombay, India.

Dr. Majmudar has a special interest in helping children grow up to be healthy adults, promoting breastfeeding, and treating children who suffer from asthma and allergies. Dr. Majmudar is an active volunteer speaker for a local elementary school where she educates children about health issues. Dr. Majmudar enjoys serving as a preceptor for medical students and residents. She is multilingual and speaks English, Spanish, Hindi, Gujarati and Marathi.

Dr. Adri P. Smith joined UTMB Pediatric Community Based Clinics in 2006.  She completed her residency in Pediatrics at the University of Texas Medical Branch at Galveston in 2005 and received her medical degree from the University of Texas Medical School at San Antonio in 2002.  She completed her bachelor's degree in biomedical science at Texas A&M University in College Station in 1997.

Board certified by the American Board of Pediatrics, Dr. Smith has a special interest in adolescent preventative medicine, infant care, treating and preventing obesity in children and treating allergic rhinitis, atopic dermatitis and asthma.  She is a member of the American Academy of Pediatrics.  She also enjoys teaching medical students and residents and is bilingual in English and Spanish.

When she is not seeing patients, she enjoys spending time with her three children, husband, family and friends.