Timothy Boomer, PA-C

Individual Active
NPI 1710230172
Medical Physician Assistant Lubbock, TX

Timothy Boomer, PA-C holds NPI 1710230172, with a primary taxonomy of medical physician assistant and a practice location in Lubbock, TX. The number was issued on October 23, 2012 and the NPPES record was last updated on February 16, 2024. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X Not listed
Surgical Physician Assistant 363AS0400X (TX)

Practice location

4417 71st St
Suite 42
Lubbock, TX 79424-2394
Phone: (806) 799-2991

Local context

Active NPPES records list 13 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 2,228 in Texas and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Timothy Lewis Boomer
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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