Dedication. Expertise. Passion.
Juliane Zapalac
Mrs. Juliane Zapalac is a locally grown and locally practicing physician assistant with more than 10 years of experience in family medicine/internal medicine serving Bay City and surrounding areas. She strongly advocates patient education and responsibility, and firmly believes every patient should be treated like family.
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Her roots begin in Markham, Texas and are still planted in this community and school district. She is a proud 2001 graduate and valedictorian of Tidehaven High School, who then furthered her education at Sam Houston State University, graduating summa cum laude with a Bachelor’s of Science in Biology in 2005. From there, Juliane pursued her Master of Physician Assistant Studies at Texas Tech University Health Sciences Center School of Allied Health in Midland, Texas. She resided there for 27 months and not a day longer. (Anyone that’s been to Midland will know why…)
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After graduating summa cum laude and returning to her roots to provide healthcare to her beloved community, Juliane married in 2009 the only person to drive her crazy, both figuratively and literally, from 1st grade at Markham Elementary through both, Tidehaven High and Sam Houston State, Mr. Aaron Garcia. In 2015, they were blessed with rambunctious twin boys, Zane and Zander, and have since unsuccessfully tried to catch up on rest.
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Aside from her 2 full time jobs of Mom and PA, Juliane enjoys attending Tidehaven and Sam Houston sporting events, rocking out at concerts, participating in Tough Mudders, reeling in reds, and of course playing superheroes.
Amy Gonzalez-Townsend, FNP-C
Amy Gonzalez- Townsend, FNP-C is a board-certified family nurse practitioner, born and raised in Bay City, TX. She is married to Cody Townsend and has been blessed with fraternal twins Ellie and Eldan. She has over 13 years of medical experience, with
7 years in registered nursing. As a nurse practitioner, she is qualified to practice in primary care; diagnose, treat, and prescribe medication for children, adolescents,
and adults.
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She began her medical journey as a Licensed vocational nurse at Matagorda Regional Medical Center. Here she spent her time working in surgical services recovering post-operative patients and assisting in surgical procedures. She decided to return to school to obtain her certification as a Registered nurse and continued working for the hospital's pharmacy and mental health psych department. She transitioned to the specialty of hemodialysis and became a Registered charge nurse at American Renal Associates where she dedicated herself to serving patients in the center, the hospital, and in patient's homes who required treatment. She feels privileged for her working experiences with patients and the delicate responsibility a nurse upholds.
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While working full time, she maintained academic excellence and was always involved in her twin's activities. She completed her bachelor's in nursing science in 2016 at Texas Tech Health Sciences Center. Amy received the " The Dean's & President's List " award and graduated with honors for her excellence in academic achievement. She initiated her dream by obtaining her master's in nursing with a focus on Family Nurse Practitioner, at Texas Tech Health Sciences Center.
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Amy is rooted in her hometown and dedicates herself to caring for her community. She firmly believes that no one should struggle to find high-quality health care. Her practice serves the community for their urgent care and primary needs at Barry J. Liberoni, M.D., P.A. in Bay City, TX. Her main focus is prevention and wellness across the lifespan and hormone replacement therapy. She is committed to compassionate care and respects her patient's individual choices. Her style of practice can be traditional or alternative medicine and believes we are made up as a whole person.
When not working Amy is devoted to her loving family and enjoys camping, fishing, watching movies, traveling, and her twins' extracurricular activities. Her core value is to have a well-built foundation in hard work and education.
Jerad Hyde, Family Nurse Practitioner
Jerad currently partners closely with Dr. Barry Liberoni in an Internal Medicine Clinic.
He provides care to his patient’s utilizing evidence-based research to ensure excellent patient outcomes. After receiving his Master’s of Science in Nursing through the University of Texas Arlington he became board-certified as a family nurse practitioner through the American Academy of Nurse Practitioners. Jerad’s passion for providing patient care extends from pediatrics through geriatrics. He can assess, diagnose, and treat the acute and chronic conditions that present in the clinic. He is also able to perform minor procedures such as suturing, incision and drainage of abscesses, cyst removal, and skin biopsies. He is able to order lab and imaging tests such as ultrasounds, CT’s, and MRI’s, and interpret said labs and imaging. When necessary, he will refer patients the appropriate specialists.
Jerad was born in Louisiana but moved to Bay City at the age of nine with his family. He was raised in Bay City and graduated from Bay City High School in 1993. Prior to becoming a nurse practitioner, Jerad had dedicated his time to serving the community by providing care for Matagorda County and surrounding area citizens at Matagorda Regional Medical Center as an emergency room nurse for 14 years. His current hobbies include fishing and spending time with his family.
Bruce Ramsey, PA-C
Son of Coy & Norma Ramsey. (Deceased)
Born and raised in Bay City with nearly 30 years of experience in emergency medicine, family medicine, and internal medicine.
A 1980 graduate of Bay City High School, Bruce began his career working in the cattle and farming industry before transitioning to the oil field with Richards Drilling Company.
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In the mid-1980s, he began his higher education at Wharton County Junior College before advancing onto Southwest Texas State University, where he earned a Bachelor of Business Administration in Accounting in 1987. After several years working in the energy sector, Bruce felt called to healthcare and returned to Southwest Texas State to complete studies in biology and chemistry in preparation for his Physician Assistant training.
He completed his Physician Assistant Program at the Catholic Medical Center of Brooklyn and Queens—sponsored by St. John’s University in July 1996.
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Following graduation, Bruce began his medical career in emergency medicine at Palacios ER, then Citizens Medical Center, where he served for 10 years. In 2006, he joined Dr. Barry Liberoni’s office, working in internal medicine until 2010 before continuing his career in urgent care in Victoria. Since 2017, Bruce has practiced at the Ganado Rural Health Clinic, where he has provided compassionate, high-quality care to patients across the region.
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After 15 years away, Bruce is proud to return to Dr. Liberoni’s office, bringing with him decades of experience, a strong work ethic, and a deep commitment to patient care—values he credits in part to Dr. Liberoni’s mentorship.
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Bruce has been married to his wife, Patricia, for over 30 years. She is also a nurse, and together they have two sons, both Eagle Scouts. Their eldest, Ben, (Kelsey) works for South Texas Electric Cooperative and previously spent time at SpaceX. Their youngest, Dean, is a licensed paramedic with Jackson County EMS and is completing his degree in biology with plans to enter the medical field.
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Outside of medicine, Bruce enjoys restoring and collecting antique John Deere tractors, as well as participating in shooting sports, waterfowl hunting, And relaxing with his dogs.