Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jean-Denis Boucher, MD

Individual provider Procedural Dermatology Physician · NPI 1205827532

Dr. Jean-Denis Boucher, MD is a Dermatology in Live Oak, Texas. Qualified in 1978, 48 years ago. Practices with Lone Star State Dermatology Clinic PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
48
Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11101 Toepperwein Rd
Live Oak, TX 78233-3143
Phone: (210) 651-3233
Fax: (210) 651-3234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence K8022 (TX)

Record details

NPI number1205827532
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 4, 2005
Last updated in NPPESApril 22, 2021
Certification dateMarch 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Lone Star State Dermatology Clinic Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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