Individual
DONALD L BOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 BERKLEY DR, WICHITA FALLS, TX 76308-1346
(940) 322-7000
Mailing address
2021 BERKLEY DR, WICHITA FALLS, TX 76308-1346
(940) 322-7000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D9084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123606901
—
TX
Enumeration date
08/25/2005
Last updated
08/23/2010
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