TIMOTHY LEWIS BOOMER

LUBBOCK, TX
NPI1710230172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2012-10-23
Last Update Date2024-02-16
Business Address
TIMOTHY LEWIS BOOMER PA-C
4417 71ST ST SUITE 42
LUBBOCK, TX 79424-2394
Phone number: 806-799-2991
Mailing Address
TIMOTHY LEWIS BOOMER PA-C
4417 71ST ST SUITE 42
LUBBOCK, TX 79424-2394
Phone number: 806-799-2991