Search › Texas › 363AM0700X
Timothy Boomer, PA-C
NPI 1710230172 · on the registry since 2012
Practice
- Address
- 4417 71st St
Suite 42
Lubbock, TX 79424 - Phone
- (806) 799-2991
- Fax
- (806) 793-5331
- Organisation at this address
- James Todd Rose, M.D., P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AS0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas