Timothy Lewis Boomer, PA-C
Timothy Lewis Boomer, PA-C is a Physician Assistant in Lubbock, Texas. Qualified in 2012, 14 years ago. Practices with James Todd Rose MD PA, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 14
- Licensed in
- TX
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
4417 71st St Ste 42Lubbock, TX 79424-2394
Phone: (806) 799-2991
Fax: (806) 793-5331
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X (TX) |
Record details
| NPI number | 1710230172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 23, 2012 |
| Last updated in NPPES | February 16, 2024 |
| Certification date | February 16, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | James Todd Rose Md Pa — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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