Judith Alison Boomer, PA
Physician Assistant in Lubbock, TX. Individual provider (NPI-1).
NPI number1912960733
StatusActive
Last updated in NPPESMay 10, 2016
Details
- NPI
- 1912960733
- Entity type
- Individual (NPI-1)
- Name
- Judith Alison Boomer
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2006
- Last updated
- May 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA03356 | TX | Yes |
Other names
- Judith Alison Clarke (Former Name)
Practice location
4515 Marsha Sharp FwyLubbock, TX 79407-2520
Phone 806-744-7223 · Fax 806-740-3325
Mailing address
2804 N Loop 289Lubbock, TX 79415-1410
Phone 806-744-7223 · Fax 806-740-3325
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All 115 Physician Assistant providers in Lubbock · All 7,272 providers in Lubbock
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