NPI age
13 years
Enumerated 2012-10-23
● Active
Type 1 · Individual
Timothy Lewis Boomer, PA-C
Boomer is 1 of 12 physician assistant providers in Lubbock and 1 of 2220 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2220 active physician assistant providers in Texas.
NPI age
13 years
↓ 2 yr below median (15 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-10Enumerated in NPPES
2012
2026
Where they practice
Practice location
4417 71st St, Suite 42
Lubbock, TX 794242394
Mailing address
4417 71st St, Suite 42
Lubbock, TX 794242394
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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