NPI age
20 years
Enumerated 2005-11-04
● Active
Type 1 · Individual
DR. Jean-Denis Boucher, M.D.
Boucher is 1 of 2 dermatology providers in Live Oak and 1 of 44 in Texas.
Primary specialty
Dermatology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-04-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 44 active dermatology providers in Texas.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
11101 Toepperwein Rd
Live Oak, TX 782333143
Mailing address
Po Box 3112
Universal City, TX 781482212
Specialties
-
Dermatology PrimaryProcedural 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0043QR | BC/BS PROVIDER ID |
| 01 (TX) | 4219937 | BC/BS BLUE LINK I.D. |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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