Our Doctors

Richard B. Silver, M.D.
Dr. Silver founded the practice in 1983. He graduated from Tulane University School of Medicine, New Orleans, Louisiana, in 1974. He completed his pediatric residency training at Children’s Medical Center/Southwestern Medical School Dallas in 1977; and completed his pediatric pulmonary fellowship at Columbia University College of Physicians and Surgeons, New York City, in 1980. He served on the full-time faculty at The University of Texas Health Science Center/Southwestern Medical School/Children’s Medical Center, Dallas from 1980 until his entry into private practice in Dallas in 1983. He was board certified in Pediatrics in 1979 and in Pediatric Pulmonology in 1989. He is a member of the American Thoracic Society, American Medical Association, Texas Medical Association and Dallas County Medical Society.

J. Fernando Mandujano, M.D.
Dr. Mandujano joined the practice in 1997. He graduated medical school from the National Autonomous University of Honduras in 1986. He completed his pediatric residency training including chief resident at the University of Medicine and Dentistry in New Jersey/Newark Beth Israel Medical Center in 1990. He completed his pediatric pulmonary fellowship at Tulane University School of Medicine, New Orleans, Louisiana, in 1994. He is on the clinical faculty at The University of Texas Health Science Center/ Southwestern Medical School/ Children’s Medical Center, Dallas since 1997. He was board certified in Pediatrics 1991 and recertified in Pediatrics in 2007 and certified in Pediatric Pulmonology in 1994 and recertified in 2008. He is a member of the American Thoracic Society, American College of Chest Physicians, American Academy of Pediatrics, American Medical Association, Texas Medical Association and Dallas County Medical Society.

Carlos A. Medina, M.D.
Dr. Medina joined the practice in 2008. He graduated medical school from Universidad Peruana Cayetano Heredia, Peru in 1996. He completed his pediatric residency training at State University of New York at Children’s Medical Center of Brooklyn in 2001. In 2004 he also completed his Masters in Public Health at George Washington University, Washington, DC. He completed his pediatric pulmonary fellowship at Children’s National Medical Center, Washington, DC in 2004. He was board certified in Pediatrics in 2002 and Pediatric Pulmonology in 2004. He is a member of the American Thoracic Society, American Medical Association, Texas Medical Association and Dallas County Medical Society.

Our Office Staff

The front office staff includes the business manager, office manager and secretaries. They are responsible for scheduling and confirming appointments, financial matters, and most importantly, assisting the patient’s family in navigating through the nightmare of managed care.

The back office staff includes the nurses, respiratory therapists and medical assistants. Their background training includes general pediatrics, pediatric intensive care, and pediatric emergency room care. They all have extensive experience in pediatric pulmonary care. They are responsible for executing the diagnostic and treatment plan outlined for your child by the physician. This includes arranging diagnostic procedures, teaching, observation skills and techniques, answering questions about the treatment plan and medications, and serving as a bridge between the patient/family and the doctor.

Our Philosophy

Our approach to your child’s health care includes:

  • Diagnosing the disease based on a comprehensive history, physical examination and laboratory studies where indicated.
  • Assessing the impact of the disease on the patient, family and school (where applicable).
  • Developing an individualized treatment plan to address the specific needs of the patient and family.
  • Providing education to the patient and family regarding the disease process, treatment and prevention.
  • Minimizing the impact of the disease on normal childhood activities, growth and development and family activities.
  • Maximizing the independence of the patient and family in caring for the disease.
  • Being available for acute problems, re-assessments and preventative care.

It is important to remember that the nature of asthma and other chronic lung problems are such that significant and serious lung abnormalities may exist at a time when the patient may have no or only few symptoms and may even have a normal examination. Periodic re-examinations even when the patient is not having problems are essential for ensuring continued good health and well-being.

Every effort is made to explain the patient’s condition and treatment plan to you. DO NOT HESITATE TO ASK QUESTIONS IF SOMETHING IS NOT CLEAR TO YOU. Our staff was chosen and trained with much thought and care, so that we may provide to you and your child quality medical services in a pleasant, efficient and friendly atmosphere. If you have suggestions regarding our services, please let us know.

Please bring written questions or concerns with you to your appointment. An effort is made to fully answer your questions. You have the right to be fully informed of our findings.