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 About Elite IVF 

Elite IVF is an infertility and reproductive medicine practice with locations in The Woodlands, Odessa, Houston and Fulshear, Texas, Nashville, Tennessee, and Fairhope, Alabama. Led by infertility expert Botros Rizk, MD, MA, FACOG, FACS, HCLD, FRCOG, FRCS, the practice helps people achieve their dreams of becoming parents with advanced fertility treatments and concierge services. 

At Elite IVF, patients can experience unmatched attention and care. Dr. Rizk and his team provide individualized care, targeting patients’ specific problems with cutting-edge treatment techniques. They often use the DaVinci® robotic system to perform safe infertility treatments and procedures with minimal risks and high success rates. 

The Elite IVF team is dedicated to helping patients find correct diagnoses and successful treatments. They frequently treat patients for polycystic ovary syndrome, noncancerous growths like fibroids and polyps, recurrent pregnancy loss, and other forms of infertility. They often recommend in vitro fertilization, a highly successful alternative to traditional conception. 

The Elite IVF team also helps patients with egg and sperm donation and surrogacy. If patients can’t naturally get pregnant with their own gametes and those of their partners, the team helps them decide whether or not to use donor zygotes. 

If you or your partner are struggling to get pregnant, schedule a consultation at Elite IVF by phone or book online today.

Dr. Aramis Cosme is a board-certified Internal Medicine. Physician with over 23 years of medical experience. He is dedicated to providing comprehensive, patient-centered care, with a special focus on Primary Care, Weight Management, Bioidentical Hormone Replacement Therapy, and Wound Care. Dr. Cosme earned his medical degree from Havana University of Medicine in 2002 and completed his Residency in Internal Medicine in 2009 in Cuba. After relocating to the United States, he furthered his training by completing an Internal Medicine Residency at Texas Tech University, El Paso. Fluent in both English and Spanish, Dr. Cosme is passionate about building strong relationships with his patients and empowering them to take control of their health through education, prevention, and personalized care.

Keilah Ford, DNP, FNP-C, PMHNP-BC, is a skilled, practiced, and compassionate Psychiatric Nurse Practitioner. Keilah sees patients at KADDs Wellness in Houston, Texas.

She always takes a holistic approach to understanding the mental health challenges people of all ages face and is passionate about treating the whole person — mind, body, and spirit. 

Keilah has over 20 years of experience in psychiatric nursing. She is deeply committed to embracing holistic mental health care.

Since a young age, Keilah has felt a calling to nurture and assist others, which led me to pursue nursing. She strongly desired to make a difference in mental health and pursued a Doctor of Nursing Practice (DNP). She specialized in psychiatric care, alongside obtaining certification as a Family Nurse Practitioner (FNP-C).

Her treatment philosophy revolves around integrating spiritual, mental, social, physical, and emotional aspects, fostering open communication and trust with patients.

As a mental health advocate, Keilah equips patients with knowledge and combats stigmas for the benefit of people everywhere. Her motto, 'Be kind to your mind,' reflects an unwavering dedication to promoting mental well-being and fostering a compassionate society.

Keilah’s journey serves as a shining example of compassionate health care, inspiring hope and healing for a healthier world.

About Us Texas Multi-Specialty Group

Texas Multi-Specialty Group is a group of 11 physicians that has been offering high quality, cost-efficient care for communities of Northwest Houston, and Cypress.

Our team of physicians has a wealth of experience in treating pulmonary diseases, including asthma, COPD, chronic cough, interstitial lung disease, mycobacterial infections, bronchiectasis, pulmonary embolism, and pulmonary hypertension. For our severe asthma patients, we offer biologic injections like Nucala, Xolair, Fasenra, Dupixent, and Tezspire.

Our Board-Certified sleep specialists can perform consultations and diagnostic sleep studies including at-home sleep studies.

Our allergy clinic performs skin testing for environmental and food allergies, as well as allergy shots.

Our comprehensive immunodeficiency clinic does diagnostic workup for immunodeficiency disorders and offers intravenous immunoglobulin for boosting immunity.

If you are suffering from breathing problems, sleep disorders, allergies, or gastroenterology problems, call our office at 281-955-0338 or schedule a consultation online today.

Lakshmy V. Ayyar, MD, FCCP is a pulmonologist at Texas Multi-Specialty Group with one office in Cypress and two in Houston, Texas. Dr. Ayyar is board certified in internal medicine, pulmonary disease, critical care, and sleep medicine. Her special interests include pulmonary disease and sleep medicine.

A native of India, Dr. Ayyar’s path to her medical career began at MGM Institute of Health Sciences in Kamothe, Navi Mumbai, where she earned her medical degree. She then came to the United States to complete residency training at the University at Buffalo, The State University of New York. She rounded out her postdoctoral clinical education with a fellowship at Baylor College of Medicine in Houston.

Dr. Ayyar enjoys helping her patients at Texas Multi-Specialty Group. When she isn’t practicing medicine, she is active in medical and professional societies, including the Texas Medical Association and the Harris County Medical Society.

Srinivas Vodnala, MD, FCCP, is a pulmonologist at Texas Multi-Specialty Group with offices in Cypress and the Methodist Willowbrook and Fallbrook neighborhoods of Houston, Texas. Dr. Vodnala is board certified in internal medicine, critical care, and pulmonary disease.

Dr. Vodnala began his medical career at Kasturba Medical College in Manipal, India, where he earned his medical degree. He then completed his residency training at Saint Vincent's Catholic Medical Center in New York City. He finished his postdoctoral clinical education with fellowships at Saint Vincent's Catholic Medical Center and Albert Einstein Medical Center.

Dr. Vodnala is a member of the American College of Chest Physicians, the American Thoracic Society, and the Society of Critical Care Medicine. He is also a member of the Harris County Medical Society and the Texas Medical Association, the largest county and state medical associations in the nation.

For top-quality, evidence-based care in the Houston area, call one of the offices or schedule an appointment today.

Harman Kular, MD specializes in critical care and pulmonary medicine. He is board certified in internal medicine and pulmonary medicine and board eligible in critical care. Dr. Kular completed all of his medical educaton and training through Baylor College of Medicine, which allowed him to practice in a wide variety of settings within the Texas Medical Center, including the Harris Health System and the Veterans Affairs Health System. He believes in providing evidence-based, patient-centered care and has experience with a full spectrum of pulmonary conditions including infectious diseases as well as pleural and lung malignancies. 

Dr. Kular was born and raised in South Texas. He is a proud Houstonian, a faithful Astros fan and a Tex-Mex connoisseur. He lives in Houston with his wife, Sonia, and puppy, Sammy. 

Dileep Puppala, MD, FCCP, FAASM, is a pulmonologist at Texas Multi-Specialty Group, located in Houston and Cypress, Texas. Dr. Puppala is board certified in pulmonary, critical care, and sleep medicine. He has been in practice for 12 years throughout northwest Houston. 

Dr. Puppala earned his medical degree from Andhra Pradesh University Of Medical Sciences in India. He completed his residency in internal medicine at Saint Vincent's Catholic Medical Center in New York City. Following residency, Dr. Puppala completed a sleep fellowship at Sleep and Wake Disorder Center at New York Hospital - Cornell University, and two pulmonary and critical care fellowships at Memorial Sloan-Kettering and The New York Hospital Medical Center of Queens.

Dr. Puppala has extensive experience in medical leadership. He served as the Medical Director of the medical and surgical intensive care department, the Medical Director of respiratory therapy, and the Chairman of the critical care committee at Houston Methodist Willowbrook Hospital. Since 2004, Dr. Puppala has held the position of Medical Director of the sleep disorder center at Cypress Fairbanks Medical Center in Harris County, Texas. He is also a member of Infection Control and Pharmacy and Therapeutics, Co-Director of Critical Care Services and Respiratory Therapy Departments, and Co-Chairman of Critical Care Committee at North Cypress Medical Center in Cypress, Texas.

Dr. Puppala remains active in his field and holds memberships with many professional organizations. He is a member of the American College of Chest Physicians, the American Medical Association, the Texas Medical Association, the American Academy of Sleep Medicine, and the American Association of Physicians of Indian Origin. 

Dr. Puppala has special interests in complicated sleep-disordered breathing, narcolepsy, parasomnias, pulmonary hypertension, pulmonary embolism, interstitial lung diseases, lung cancer, pneumonia, asthma, and more. He performs specialized procedures including bronchoscopy with transbronchial lung biopsies, complicated airway management, percutaneous tracheostomy, chest tube placement, and pulmonary artery catheter placement. He interprets pulmonary function tests, methacholine challenge tests, cardiopulmonary stress tests, diagnostic sleep studies, CPAP titration studies, and multiple sleep latency tests. 

When he’s not working, Dr. Puppala enjoys spending time with his wife and two sons. His hobbies include traveling, tennis, reading about world affairs, and cooking.

Kumari Iyer, MD Joined Magnolia Family Medicine in the summer of 2025. She sees patients at the Cypress location around the Copperfield community at 15322 Copper Grove Blvd, Houston, TX 77095.

Dr. Iyer brings with her a wealth of experience from having worked in different healthcare fields in California and Tennessee, such as emergency medicine, urgent care, hospice and palliative care, and geriatric and outpatient primary care—her personal passion.

Dr. Iyer graduated from East Tennessee State University in 1998 and is board certified in internal medicine. She is fluent in both English and Tamil. As a mother of three, she enjoys time with her family aside from spending time in her kitchen and tending her garden. 

With years of dedication and service under her belt, Dr. Iyer is committed to delivering compassionate, personalized medical care to you and your family members. You may call (281) 356-1945 or click the “Schedule Appointment” button to select your desired date and time. For your convenience, she sees patients on Tuesdays and Thursdays until 7 pm at the Cypress location and on Wednesdays she sees patients at the Walk-in location until 7 pm.