David Boucher in Stephenville - Internal Medicine
David Boucher - NPI 1639174675
David Boucher is a Internal Medicine in Stephenville, Texas. David Boucher practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for David Boucher is 1639174675. The last update date is 2022-10-06.
David Boucher's current location address is 150 River North Blvd, Stephenville, Texas. You can contact this provider via phone number 2549686051 and fax number 2549684204. The mailing address for David Boucher is 150 River North Blvd, Stephenville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Boucher |
|---|---|
| Address | 150 River North Blvd, Stephenville, Texas |
| Phone Number | 2549686051 |
| Fax Number | 2549684204 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639174675 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2022-10-06 |
Provider Mailing Address Detail
| Address | 150 River North Blvd |
|---|---|
| City | Stephenville |
| State | Texas (TX) |
| Post Code | 7640118030 |
| Phone Number | 2549686051 |
| Fax Number | 2549684204 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G4848 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 123772901 | TX | -- | |
| 10016274 | TX | RAILROAD MEDICARE PROV NO | |
| 2060508001 | TX | CIGNA PROVIDER NUMBER | |
| 72486303 | TX | UNITED HEALTHCARE PROV NO | |
| 814765 | TX | BCBS PROVIDER NUMBER | |
| 72486303 | TX | AETNA PROVIDER NUMBER |
Post Comment/ Review Below
What is the David Boucher's 1639174675?
The David Boucher's NPI (National Provider Identifier) Number is 1639174675. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where David Boucher's facilities are situated?
The facilities of David Boucher are physically located at the following address: 150 River North Blvd, Stephenville, TX, 7640118030.
What is David Boucher's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Boucher is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
When did David Boucher receive its 1639174675 assignment?
The David Boucher was assigned its 1639174675 on 2005-06-16, which is the date when this unique identifier was issued to the organization.
When was the information related to David Boucher most recently updated or refreshed?
The details pertaining to the David Boucher, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-10-06.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM