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Individual

HANNAH KATHLEEN BOMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
(713) 745-1782
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
(713) 745-1782

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA06644
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
219287401
MEDICAID TPI
TX
01
818N81
BCBS
TX
01
P00990931
RR MEDICARE
TX
Enumeration date
03/09/2010
Last updated
07/27/2021
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