Dr. Jean-Denis Boucher
Procedural Dermatology
11101 Toepperwein Rd
Live Oak
, Texas 78233-3143
Dr. Jean-Denis Boucher
Procedural Dermatology
11101 Toepperwein Rd
Live Oak
, Texas 78233-3143
(210) 651-3234
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Jean-Denis Boucher
- Po Box 3112
- Universal City, TX
- Zip : 78148-2212
- Fax : (210) 651-3234
- Phone : (210) 651-3233
Second Address
- Dr. Jean-Denis Boucher
- 11101 Toepperwein Rd
- Live Oak, TX
- Zip : 78233-3143
- Fax : (210) 651-3234
- Phone : (210) 651-3233
Reviews
FAQs
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Is Dr. Jean-Denis Boucher a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | K8022 | TX |
National Provider Identifier
| NPI | 1205827532 |
|---|---|
| Provider Name | Dr. Jean-Denis Boucher |
| First Address | Universal City, TX 78148-2212 |
| Second Address | Live Oak, TX 78233-3143 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2005 |
| Last Update Date | 22/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0043QR | BC/BS PROVIDER ID (01) | TX |
| 4219937 | BC/BS BLUE LINK I.D. (01) | TX |
| H19937 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.