Provider Demographics
NPI:1487763561
Name:BOOP, JAMES JEFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JEFFREY
Last Name:BOOP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2719 81ST ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2229
Mailing Address - Country:US
Mailing Address - Phone:806-792-0785
Mailing Address - Fax:806-788-1620
Practice Address - Street 1:3008 50TH ST
Practice Address - Street 2:SUITE F
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-4130
Practice Address - Country:US
Practice Address - Phone:806-792-0785
Practice Address - Fax:806-788-1620
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH2993207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AD983OtherBLUE CROSS BLUE SHIELD
TX108891100OtherFIRSTCARE/SOUTHWEST LIFE
TX110566004Medicaid
TX180040342OtherRAILROAD MEDICARE
TX180040342OtherRAILROAD MEDICARE
TXB21382Medicare UPIN