Shane D Boucher (NPI# 1093805178, PAC ID# 5193723658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1093805178 |
| PAC ID by PECOS | 5193723658 |
| Professional Enrollment ID | I20091008000693 |
| Full Name | Shane D Boucher |
| Address |
410 E Fairmont Pkwy Suite C La Porte TX 77571-3700 |
| Gender | M |
| Credential | DC |
| Graduation Year | 2006 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 410 E Fairmont Pkwy, Suite C, La Porte, TX 77571-3700 |
| Street Address |
410 E FAIRMONT PKWY SUITE C |
| City | LA PORTE |
| State | TX |
| Zip | 77571-3700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ninh Pham | Optometry | 9025 Spencer Hwy, La Porte, TX 77571-3870 | |
| Hannah J Burfield | Optometry | Frazier Eye Center Pllc | 9500 Spencer Hwy, La Porte, TX 77571-3881 |
| Sarah Rodriguez Hunter | Optometry | Frazier Eye Center Pllc | 9500 Spencer Hwy, La Porte, TX 77571-3881 |
| Lisa A Frazier | Optometry | Frazier Eye Center Pllc | 9500 Spencer Hwy, La Porte, TX 77571-3881 |
| Verna W Humphrey | Clinical Social Worker | 10412 Spencer Hwy, La Porte, TX 77571-4300 | |
| Robert D Johnston | Family Medicine | Jacinto Medical Group P A | 11006 Spencer Hwy, La Porte, TX 77571-4416 |
| Meagan Nicole Legrand | Optometry | Deborah S. Bernay Od PC | 401 W Fairmont Pkwy, Suite A, La Porte, TX 77571-5301 |
| Deborah S Bernay | Optometry | Deborah S. Bernay Od PC | 401 W Fairmont Pkwy, Suite A, La Porte, TX 77571-5301 |
| Rakesh Patel | Family Medicine | 10611 W Fairmont Pkwy, La Porte, TX 77571-6006 | |
| Emma A Lee | Optometry | Bub-lee Eye Center Inc | 10411 W Fairmont Pkwy, La Porte, TX 77571-6014 |
| Find all physicians in zip 77571 | |||
| City | LA PORTE |
| Zip Code | 77571 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LA PORTE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Shane D Boucher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.