Judith Alison Boomer in Lubbock - Physician Assistant
Judith Alison Boomer - NPI 1912960733
Judith Alison Boomer is a Physician Assistant in Lubbock, Texas. Judith Alison Boomer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Judith Alison Boomer is 1912960733. The last update date is 2016-05-10.
Judith Alison Boomer's current location address is 2804 N Loop 289, Lubbock, Texas. You can contact this provider via phone number 8067447223 and fax number 8067403325. The mailing address for Judith Alison Boomer is 2804 N Loop 289, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Alison Boomer |
|---|---|
| Address | 2804 N Loop 289, Lubbock, Texas |
| Phone Number | 8067447223 |
| Fax Number | 8067403325 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1912960733 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2016-05-10 |
Provider Mailing Address Detail
| Address | 2804 N Loop 289 |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794151410 |
| Phone Number | 8067447223 |
| Fax Number | 8067403325 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03356 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Judith Alison Boomer by the Centers for Medicare & Medicaid Services?
The Judith Alison Boomer has been assigned the NPI (National Provider Identifier) 1912960733 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Judith Alison Boomer?
The Judith Alison Boomer is situated at 2804 N Loop 289, in the city of Lubbock, state of TX, with the zip code 794151410.
What is Judith Alison Boomer's area of expertise and its corresponding taxonomy classification?
The Judith Alison Boomer's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
What is Judith Alison Boomer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Judith Alison Boomer is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When was the information regarding Judith Alison Boomer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Judith Alison Boomer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-05-10.