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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.

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. 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.

Leslie obtained her Bachelor of Science from Texas State University in San Marcos in 2009. She went on to obtain her Master in Physician Assistant Studies at The University of Texas Medical Branch in Galveston in 2013.

Leslie began working with UTMB in 2014 and currently holds a faculty position with the UTMB Pediatric Urgent Care.

Leslie is board ceritifed by the National Commission on Certification of Physician Assistants and is licensed through the Texas State Board of Physician Assistant Examiners.

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Erika Schulze was born and raised in the Midwest in Illinois 30 minutes outside of St. Louis, MO. She completed her academic training at Goldfarb School of Nursing in St. Louis, MO. Her experience spans 16 years, which included working at Barnes Hospital as staff nurse on general medicine floor for 8 years; Pulmonary and Critical Care research at Washington University in St. Louis, MO. In 2003, Erika was accepted into graduate school at Goldfarb School of Nursing and completed Master of Science degree in Nursing with focus as an Adult Nurse Practitioner. This program was two and half years of additional medical assessment and decision training including diagnostic testing. Since completing Graduate School, she has worked in the primary care setting. She moved to Texas and started working at UTMB in January 2013.

During her time off, she enjoys her home, gardening, and time with her family and friends. She is passionate about animal welfare charities and animal fostering programs. Erika is also very passionate about the mental health of the community. She chairs a weekly support group, Nar Anon, for family and friends of those suffering from addiction.