person
Timothy Lewis Boomer, PA-C
Medical Physician Assistant in Lubbock, Texas
NPI 1710230172

Timothy Lewis Boomer is a Medical Physician Assistant based in Lubbock, TX and is specialized in Medical. Timothy Lewis Boomer practices in Lubbock, TX and has the professional credentials of PA-C. The NPI Number for Timothy Lewis Boomer is 1710230172 and holds a License No. (Texas).

The current practice location address for Timothy Lewis Boomer is 4417 71St St, Lubbock, TX and can be reached out via phone at 806-799-2991 and via fax at 806-793-5331. You can also correspond with Timothy Lewis Boomer through the mailing address at 4417 71ST ST, LUBBOCK, TX - 79424-2394 (mailing address contact number: 806-799-2991).

Location: 4417 71St St, Lubbock, TX, 79424-2394
person
Provider Profile Details
NPI Number
1710230172
Provider Name
Timothy Lewis Boomer
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4417 71St St, Lubbock, TX, 79424-2394
Phone Number
806-799-2991
Fax Number
806-793-5331
Provider Enumeration Date
10/23/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4417 71St St
City
State
Zip
79424-2394
Phone Number
806-799-2991
Fax Number
806-793-5331
person
Provider Business Mailing Address Details
Address
4417 71St St
City
State
Zip
79424-2394
Phone Number
806-799-2991
Fax Number
806-793-5331
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
(Texas)
Definition
Definition to come...
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