Dr. Tyler's clinical practice focuses on GI cancers, melanoma, and sarcoma. He has pioneered neoadjuvant approaches using chemotherapy and/or radiation to tumors of the stomach and pancreas as well as the application of minimally invasive surgery to tumors of the GI tract. He is an expert in the management of regionally advanced and in-transit melanoma and oversees novel clinical trials to manage this form of disease. Dr. Tyler also has extensive experience managing retroperitoneal and abdominal wall sarcomas.

Dr. Matthew J. Hay joined UTMB Pediatric Associates in 1997. Board-certified by the American Board of Pediatrics, Dr. Hay completed his residency in pediatrics and received his doctorate in medicine from the University of Texas Medical Branch in Galveston. Dr. Hay holds a bachelor's degree from Stephen F. Austin State University. He is also the Medical Director of the UTMB Health Primary and Specialty Care Clinic in Texas City.

Dr. Hay has been named the Galveston Daily News Reader's Choice Best Pediatrician of Galveston County in 2015, 2016, 2017, and 2019. Dr. Hay is currently a member of the Galveston Independent School District Board of Trustees, currently serving in his third three-year term, as well as serving as the President for six of those years. He served on the Texas Youth Commission Advisory Board after being appointed by then Texas Governor Rick Perry. He has developed a special interest in children with Attention Deficit Hyperactivity Disorder and other behavioral or school-related problems.

When he isn't seeing patients, Dr. Hay coaches the Texas A&M Galveston Lady Aggies soccer team.

 Provider is LGBTQIA+ Responsive

Dr. Propst is a fellowship trained physician in Primary Care Sports Medicine. His clinical interests include many sports injuries, aches and pains including concussions, sprains, strains, simple fractures. Additionally, his training allows him to investigate nutritional and lifestyle factors that may predispose athletes to repetitive injuries or decrease their performance regardless of their sport.

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.

After being a Labor and Delivery / Nursery / Postpartum nurse for over 9 years, I decided to further my education and pursue a career in pediatrics. I have been practicing pediatrics in the Brazosport area for the last 3 years. I am passionate about providing quality, compassionate care to children as well as their families. I am married with two children and live in the Brazosport area, where I was born and raised. I enjoy spending time with my family, traveling, anything outdoors, and watching my son and daughter grow and excel in the extracurricular activities they are involved in.

Dr. Silva serves as the Clerkship Director and Co-director of the Ambulatory Pediatric Community Selective. She received her MD from St. George's University School of Medicine, Grenada and completed her residency at Pennsylvania State University Children's Hospital. Dr. Silva is board certified in pediatrics.

Dr. Azhar joined UTMB's Department of Family Medicine in 1993. He attended medical school at Osmania Medical College in Hyderabad, India. Dr. Azhar completed his residency training in Ophthalmology at the Royal College of Surgeons in England then completed a fellowship in Neuro-Ophthalmogy at the University of Texas Health Science Center in Houston.

Dr. Azhar advanced his career by receiving additional residency training at UTMB in the Department of Family Medicine.  In addition to his doctorate degree, he earned an MBA from the University of Houston, Clear Lake.

Dr. Azhar is board certified in Family Medicine by the American Board of Family Medicine. Dr. Azhar's interests are in family medicine, ophthalmology and residency training.

No Biography details to display.

No Biography details to display.

Dr. Cynthia Binder joined UTMB Health Pediatric Community Based Clinics in 2002. She completed her residency in pediatrics at the University of Texas Medical Branch in Galveston where she also earned her medical degree. Dr. Binder holds a bachelor's degree from Baylor University.

Board certified by the American Board of Pediatrics, Dr. Binder enjoys providing healthcare and education to her patients and their families. Additionally, she enjoys teaching medical students and residents.

Dr. Binder enjoys all aspects of Pediatrics, but has a special interest in preventive medicine, infectious disease, and the treatment of asthma and allergic rhinitis.

Dr. Binder is bilingual in English and Spanish.