Individual
AEMI TIEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 747-4820
Mailing address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA4266
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110113178A
—
MA
Enumeration date
10/27/2011
Last updated
04/10/2026
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