Boomer, Timothy Lewis

Boomer, Timothy Lewis is an individual health care provider with primary practice located at 4417 71St St Suite 42, Lubbock TX 79424-2394. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Boomer, Timothy Lewis can be contacted via phone (806) 799-2991.

Contact Information

Primary practice address
4417 71St St Suite 42 Lubbock TX 79424-2394
Phone: (806) 799-2991
Fax: (806) 793-5331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1710230172
LBN Legal business name Boomer, Timothy Lewis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2012
Last updated Feb 16th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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