Provider Demographics
NPI:1326254160
Name:TIMOTHY P. BUMANN D.O. P.A.
Entity Type:Organization
Organization Name:TIMOTHY P. BUMANN D.O. P.A.
Other - Org Name:WEST TEXAS HYPERBARICS & WOUND CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:P
Authorized Official - Last Name:BUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:325-428-2807
Mailing Address - Street 1:2438 INDUSTRIAL BLVD
Mailing Address - Street 2:PMB 105
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-7207
Mailing Address - Country:US
Mailing Address - Phone:325-428-2807
Mailing Address - Fax:325-428-2819
Practice Address - Street 1:6250 ANTILLEY RD
Practice Address - Street 2:ABILENE REGIONAL MEDICAL CENTER
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5742
Practice Address - Country:US
Practice Address - Phone:325-428-2807
Practice Address - Fax:325-428-2819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7177207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDB8646OtherRAILROAD MEDICARE
TX0003LWOtherBLUE CROSS
TXDB8646OtherRAILROAD MEDICARE