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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.

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.

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. 

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.

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.

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.

Ali El-Halwagi, MD, MPH, is double board certified in Internal Medicine and Rheumatology. He is dedicated to delivering compassionate, personalized care to every patient he serves. Dr. El-Halwagi graduated summa cum laude from Texas A&M University with a Bachelor of Science in Chemical Engineering. He then relocated to Houston to attend Baylor College of Medicine, where he earned his medical degree with honors. In addition, he holds a Master of Public Health from the University of Texas, reflecting his commitment to understanding and addressing the diverse needs of the community.

Dr. El-Halwagi completed his residency in Internal Medicine at Baylor College of Medicine, where he also served as chief resident. During this time, he gained valuable experience as a hospitalist at Ben Taub General Hospital and Baylor St. Luke’s Medical Center. He went on to complete his fellowship in Rheumatology at Baylor College of Medicine.

Throughout his training, Dr. El-Halwagi has been recognized with multiple honors for his humanistic approach to medicine, dedication to teaching, and excellence in patient care. He is a member of the Alpha Omega Alpha Honor Medical Society and the Gold Humanism Honor Society. He remains actively engaged with the American College of Rheumatology, participating in networking, conference planning, and ongoing professional development.

Dr. El-Halwagi is passionate about improving patient outcomes and building lasting relationships with his patients. Outside of medicine, he enjoys spending time with his family and traveling.

Kumari Iyer, MD is one of the newest providers who 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.

Allison Walworth, DO, is a board-certified Internal Medicine physician who joins Magnolia Family Medicine with years of experience. Dr. Walworth completed her internal medicine residency at Medical City Arlington in Arlington, TX and earned her medical degree from Burrell College of Osteopathic Medicine in Las Cruces, NM.

She is committed to evidence-based care with a patient-centered focus and welcomes adult patients with a personalized touch. Outside of work, Dr. Walworth enjoys reading--especially Golden Age science fiction and watching classic movies.

Schedule a visit with Dr. Walworth today by clicking on the Schedule Appointment button or call our office at (281) 356-1945 to reserve your slot at your ideal day and time. 

As an adult Psychiatrist, Neha Patel, DO, understands just how essential outstanding health services are in reshaping lives and improving patient outcomes. As part of the team at Endocrine and Psychiatry Center, Dr. Patel gets to know those in her care, building trusting bonds with residents of Houston, Texas.

Education has always shaped Dr. Patel’s life. She earned her medical degree from the University of Texas Medical Branch in Galveston. Dr. Patel went on to complete her residency in psychiatry at the same institution. 

Dr. Patel enjoys the challenges and complexity of working in psychiatry and especially loves helping those in her care find a path toward enhanced stability and mental health. She strives to build lasting bonds with patients. 

Residents of the greater Houston region who are 18 and older and want to make the most of their daily mental health and wellness are welcome to come in and meet with Dr. Patel to discuss treatment structure and planning. Book a visit online or by phone to learn more about her approach to mental health.  

Tariq Dayah, MD, MPH, FACC is a renowned cardiologist at Memorial Katy Cardiology Associates in Houston, Katy, and Cypress, Texas. 

Dr. Dayah is board-certified in internal medicine, cardiovascular disease, interventional cardiovascular disease, nuclear medicine, and echocardiography. He offers expertise in preventative medicine (blood pressure, heart rate, and cholesterol control), transradial and transfemoral coronary artery interventions, interventional cardio-oncology, peripheral artery interventions, repair of congenital heart defects, such as percutaneous atrial septal defects, and the latest technology involving structural heart interventions.

Dr. Dayah is skilled in numerous noninvasive cardiac imaging modalities such as PET scans, nuclear medicine, and ultrasound imaging. He has been in practice since 2012. He is interested in the latest advancements in coronary artery disease therapies, transcatheter aortic valve replacement, and cardio-oncology. Dr. Dayah currently serves as the Director of Structural Heart at Houston Methodist West Hospital.

A fellow of the American College of Surgeons, Dr. Dayah conducts research into transcatheter aortic valves and energy drink-induced endothelial vascular dysfunction. He has published several journal articles on these research topics.

Rawan Abu-Zeitoon, MD, is a board-certified internal medicine specialist who leads the team at Chrysolite Aesthetics MedSpa in Houston, Texas. She offers aesthetic services to patients of all backgrounds who want to boost their confidence with state-of-the-art treatment options.

Dr. Abu-Zeitoon attended medical school and earned her Doctor of Medicine at the Faculty of Medicine/University of Jordan in Amman, Jordan. After her formal education, Dr. Abu-Zeitoon pursued her internal medicine residency at East Tennessee State University in Johnson City, Tennessee. While at ETSU, she earned the Harrison Award for her academic excellence.

At Chrysolite Aesthetics MedSpa, Dr. Abu-Zeitoon offers elite services that include body contouring, botox, dermal fillers, facials, laser hair removal, microneedling, platelet-rich plasma (PRP), and skin tightening. Her goal is always to help patients feel and look their best.

Dr. Abu-Zeitoon is fluent in Arabic and English, which allows her to connect with a broader patient-base. She is excited to offer patient-centered care to both new and returning patients.

 

Asim Khawaja, MD, is a board-certified internal medicine physician practicing at CareOne Internal Medicine and Primary Care. Dr. Khawaja offers high-quality, patient-centered care to those in and around Houston and Katy, Texas.

Dr. Khawaja completed his medical degree at Ross University School of Medicine in Bridgetown, Barbados, in 2012. In 2015, he completed his residency program in internal medicine at Allegheny University Hospital in Pittsburg, Pennsylvania, through the Allegheny University of Health Sciences, now affiliated with Drexel University College of Medicine. After finishing his residency, he worked as a traveling physician for two years, and recently relocated back to the Houston area to join the team at CareOne. In addition to serving patients at CareOne, Dr. Khawaja is affiliated with Memorial Hermann Katy Hospital and Houston Methodist West Hospital.

When he’s not practicing medicine, Dr. Khawaja is a motorsports enthusiast, an avid skier, and enjoys spending time with his friends and family.

Mubarak Khawaja, MD, is a board-certified internal medicine physician with training in pulmonary medicine, and has over 30 years of experience in acute and chronic health care management. He currently practices at CareOne Internal Medicine and Primary Care, and aims to provide compassionate, high-quality care for all patients in and around Houston and Katy, Texas.

Dr. Khawaja received his medical degree from Liaquat University of Medical & Health Sciences in Sindh, Pakistan, in 1987. In 1994, he completed his residency in internal medicine at Mercy Catholic Medical Center in Philadelphia, Pennsylvania, through the Medical College of Pennsylvania, now known as Drexel University College of Medicine, where he also served as chief resident in 1995. General Hospital in Pittsburgh, Pennsylvania, also through Allegheny University of Health Sciences (now part of Drexel University College of Medicine) in 1997.

After his training, Dr. Khawaja served as a Clinical Assistant Professor for the Department of Family Medicine at the University of New Mexico for seven years. He then relocated to Katy, Texas, in 2006. Dr. Khawaja is affiliated with Memorial Hermann Katy Hospital and Methodist West Houston Hospital. He is a member of the Texas Medical Association, the Harris County Medical Society, and the American College of Physicians. To better serve more patients in his community, Dr. Khawaja is fluent in Spanish, Hindi, Urdu, and Gujarati.

Dr. Khawaja currently lives in Sugar Land, Texas, with his wife Sakina, and their two children. In his spare time, he enjoys philanthropy and traveling.

Tam Truong, MD, is an internal medicine physician at New Wave Physicians Group in Spring, Texas. He is dedicated to improving his patients’ lives through exemplary medical care with the Golden Rule of Medicine and aims to treat every patient with the respect, kindness, and love he would want his own family treated. Dr. Truong feels that each patient's situation is unique and takes time to listen and work with every patient to treat their concerns and put their mind at ease. 

Dr. Truong completed his undergraduate studies at the University of Texas at Austin. Following this, he attended Texas Tech University Health Sciences Center School of Medicine. He later completed his internal medicine residency at the University of Arkansas for Medical Sciences in Little Rock, Arkansas. 

Dr. Truong has 10 years of experience as a hospitalist dealing with acute illnesses in the hospital setting and has now transitioned to outpatient medicine with a focus on chronic illnesses and preventive care. He is excited to have joined Dr. Amie Sun-Wright, his medical school classmate of 2005 at New Wave Physicians Group in Spring, Texas, at the beginning of 2021. 

Born and raised in Houston, Texas, Dr. Truong now resides in The Woodlands, Texas, with his spouse and three children. When he's not helping his patients, he is proud to be a Home Depot Weekend Warrior, but most of all, Dr. Truong loves traveling and spending time with his family.

Timothy Carder, MD, is a board-certified family medicine physician at New Wave Physicians Group in Spring, Texas. Dr. Carder enjoys caring for patients of all ages and medical conditions. 

A native Texan, he was born in Dallas, Texas, and grew up in Bogata, Texas, a rural agricultural community in Northeast Texas. Dr. Carder received his medical degree from Texas A&M Health Science Center in College Station, Texas, and completed his family medicine residency at Texas Tech Health Science Center of the Permian Basin in Odessa, Texas. 

He is board certified by the American Board of Family Medicine and a member of the Texas Medical Association, American Medical Association, and Harris County Medical Society. 

An advocate in health and wellness, Dr. Carder is an active runner and enjoys participating in various running events, from 5Ks to marathons. He loves animals and has a special place in his heart for his late dog of more than 18 years, Skipper.