DSHS Organizational Chart

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DSHS Organizational Chart

HHSC Executive Commissioner

Office of the Commissioner

Jennifer Shuford, MD, Commissioner of Public Health


  • Kirk Cole, Deputy Commissioner
  • Imelda Garcia, MPH, Senior Advisor
  • Ricardo Garcia, MPAff Chief of Staff
  • Barbara L Klein, Senior Compliance & Accountability Official
  • Varun Shetty, MD, MPH, Chief State Epidemiologist
  • Grace Kubin, PhD, Public Health Laboratory, Associate Commissioner
  • Josh Hutchison, MBA, Infectious Disease Prevention, Associate Commissioner
  • David Gruber, Regional & Local Health Operations, Associate Commissioner
  • Timothy Stevenson, DVM, PhD, Consumer Protection, Associate Commissioner
  • Manda Hall, MD, Community Health Improvement, Associate Commissioner

HHSC Liaisons

  • Cynthia Hernandez, JD, MS, DSHS General Counsel
  • Nicole Guerrero, HHS Internal Audit Director
  • Rick Blanco, Information Resources Manager

Deputy Commissioner

Kirk Cole, Deputy Commissioner


  • Stephen Pont, MD, MPH, Center for Public Health Policy & Practice Medical Director
  • Christy Havel-Burton, MPAff, Chief Financial Officer
  • Roberto Beaty, Program Operations, Associate Commissioner
  • Kim White, Division Office Senior Policy and Strategic Advisor

Senior Advisor

Imelda Garcia, MPH


  • Monica Gamez, Public Health Data Strategy and Modernization, Director

Chief of Staff

Vacant, Chief of Staff


  • Rachael Hendrickson, Center for External Relations, Director
  • Mercy Bryant, Center for System Coordination & Innovation, Director

Office of Compliance and Accountability

Barbara L Klein, JD, EMPL


  • Ann Duncan, Fiscal Monitoring and Support, Director

Center for Public Health Policy & Practice

Stephen Pont, MD, MPH, Medical Director


  • Courtney Denzendorf, MPH, Office of Practice & Learning, Director
  • Vacant, Office of Public Health Policy, Director
  • Elizabeth Howard, MD, Office of Preventive Medicine, Director


Christy Havel-Burton, Chief Financial Officer


  • Loris Tran, Federal Funds, Deputy CFO
  • Leslie Aguilar, Accounting, Director
  • Amanda Hudson, Budget, Director

Program Operations

Roberto Beaty, Associate Commissioner


  • Kevin Davis, Deputy Associate Commissioner
  • Seth Stallings, Program Support Operations, Director
  • Danyale Bryant, Business Support & Planning, Director
  • Patty Melchior, Contract Management, Director 
  • Madhavi Koganti, Public Health Portfolio Project Manager

Chief State Epidemiologist

Varun Shetty, MD, MPH


  • Diana Martinez, PhD, Deputy Chief State Epidemiologist, Director
  • James Farris, PhD, Center for Health Statistics, Director
  • Paul Grunenwald, DVM, MS, Disease Surveillance and Epidemiology, Director

Public Health Laboratory

Grace Kubin, PhD, Associate Commissioner


  • Susan Tanksley, PhD, Deputy Associate Commissioner
  • Lisa Hutson, Quality Assurance, Director
  • Aurora Martinez, South Texas Laboratory, Director
  • Megan Sim, Laboratory Business Operations Unit, Director

Infectious Disease Prevention

Josh Hutchison, MBA, Associate Commissioner


  • Aelia Akhtar, Deputy Associate Commissioner
  • Vacant, Immunization, Director
  • Vacant, HIV/STD, Director
  • Sandra Morris, MPH, TB and Hansen’s Disease, Director

Regional & Local Health Operations

Dave Gruber, Associate Commissioner


  • Rachel Samsel, MSSW, Deputy Associate Commissioner
  • Lilian Peake, MD, Public Health Services, Director
  • John Lopez, Texas Center for Infectious Disease (TCID), Director
  • Karin Hopkins, Office of Border Public Health (OBPH), Director
  • Jeff Hoogheem, Center for Health Emergency Preparedness and Response (CHEPR), Director
  • Regional Medical Directors:
    • Scott Milton, MD, Public Health Region 1
    • Aurelia Schmalstieg, MD, Public Health Region 2/3
    • Sharon Huff, MD, MS, Public Health Region 4/5
    • Carlos Plasencia, MD, MSPH, Public Health Region 6/5
    • Sharon Melville, MD, MPH, Public Health Region 7
    • Lillian Ringsdorf, MD, MPH, Public Health Region 8
    • Vacant, Public Health Region 9/10
    • Emilie Prot, DO, MPH, Public Health Region 11

Consumer Protection

Timothy Stevenson, DVM, PhD, Associate Commissioner


  • Luis Morales, MBA, Deputy Associate Commissioner
  • Chris Drews, Compliance, Manager
  • Annabelle Dillard, Environmental, Director
  • Kevin Veal, PhD, Food and Drug, Director
  • James Dillon, DVM, MPH, Meat Safety Assurance, Director
  • Lisa Bruedigan, Radiation, Director
  • Jorie Klein, MSN, MHA, BSH, RN, EMS/Trauma Systems, Director

Community Health Improvement

Manda Hall, MD, Associate Commissioner


  • Jeremy Triplett, Deputy Associate Commissioner
  • Kelly Fegan-Bohm, MD, Medical Director
  • Lori Gabbert-Charney, MPAff, Maternal & Child Health, Director
  • Tara Das, PhD, Vital Statistics, State Registrar
  • Heidi Bojes, PhD, Environmental Epidemiology & Disease Registries, Director
  • Nimisha Bhakta, MPH, Health Promotion & Chronic Disease Prevention, Director