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1710230172
TIMOTHY LEWIS BOOMER
LUBBOCK, TX
NPI
1710230172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Additional Taxonomies
363AS0400X Physician Assistant, Surgical
Enumeration Date
2012-10-23
Last Update Date
2024-02-16
Business Address
TIMOTHY LEWIS BOOMER PA-C
4417 71ST ST SUITE 42
LUBBOCK, TX 79424-2394
Phone number: 806-799-2991
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Mailing Address
TIMOTHY LEWIS BOOMER PA-C
4417 71ST ST SUITE 42
LUBBOCK, TX 79424-2394
Phone number: 806-799-2991
Copy
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