SHANE D BOUCHER DC

Dr SHANE D BOUCHER DC is a male medical professional, specializing in Chiropractic. He graduated in 2006.

Contact

410 E FAIRMONT PKWY
SUITE C
LA PORTE
TX
775713700

Tel:

SHANE D BOUCHER DC Information

Npi 1093805178
Pac Id 5193723658
Professional Enrollment Id I20091008000693
Last Name BOUCHER
First Name SHANE
Middle Name D
Suffix
Gender M
Credential DC
Medical School Name OTHER
Graduation Year 2006
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 410 E FAIRMONT PKWY
Line 2 Street Address SUITE C
Marker Of Address Line 2 Suppression
City LA PORTE
State TX
Zip Code 775713700
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know SHANE D BOUCHER DC?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.