Dr. Tieman is a native of Austin, Texas and attended the University of Texas.  He attended Medical School at the UT Health Science Center in San Antonio, graduating in 1986.  After a 2 year Internal Medicine Residency at the University of Kentucky, he returned to San Antonio for a Dermatology Residency.  He has been in private practice in New Braunfels since 1991. 
Dr. Tieman enjoys travelling with his wife Laurie, especially to America's National Parks.


Erika Kelso is a certified Nurse Practitioner.  She received her training at the University of Texas Health Science Center in San Antonio.  Erika is a native Texan and lives in New Braunfels with her husband Ryan. She enjoys spending time with her dog Sophie and her backyard chickens. 

Erika welcomes patients of all ages and is well versed in the latest treatment options for all skin conditions including biologic treatment for psoriasis and eczema.  She also is an expert Botox injector.