Jean-Denis Boucher in Universal City - Procedural Dermatology

Jean-Denis Boucher - NPI 1205827532

Jean-Denis Boucher is a Procedural Dermatology in Universal City, Texas. Jean-Denis Boucher practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Jean-Denis Boucher is 1205827532. The last update date is 2021-04-22.

Jean-Denis Boucher's current location address is Po Box 3112, Universal City, Texas. You can contact this provider via phone number 2106513233 and fax number 2106513234. The mailing address for Jean-Denis Boucher is Po Box 3112, Universal City, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jean-Denis Boucher
Address Po Box 3112, Universal City, Texas
Phone Number 2106513233
Fax Number 2106513234
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1205827532
Provider Enumeration Date 2005-11-04
Last Updated Date 2021-04-22

Provider Mailing Address Detail

Address Po Box 3112
City Universal City
State Texas (TX)
Post Code 781482212
Phone Number 2106513233
Fax Number 2106513234

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No K8022
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0043QR TX BC/BS PROVIDER ID
4219937 TX BC/BS BLUE LINK I.D.

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FAQs about Jean-Denis Boucher

What is the unique provider identifier assigned to Jean-Denis Boucher?

The Jean-Denis Boucher has been issued the NPI (National Provider Identifier) 1205827532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jean-Denis Boucher?

The Jean-Denis Boucher is physically situated at Po Box 3112, in the city of Universal City, state of TX, with the postal code 781482212.

What is Jean-Denis Boucher's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jean-Denis Boucher is Procedural Dermatology, and the taxonomy code that classifies this field of practice is 207Ns0135X.

On what date did the Centers for Medicare & Medicaid Services assign the 1205827532 to Jean-Denis Boucher?

The Centers for Medicare & Medicaid Services assigned the 1205827532 to Jean-Denis Boucher on 2005-11-04.

When was the information regarding Jean-Denis Boucher, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jean-Denis Boucher, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-22.

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