KLAYME-SHANE BOUCHER

SAN ANTONIO, TX
NPI1689317141
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TX  V8588)
Additional Taxonomies208M00000X Hospitalist
(Licence: TX  V8588)
Enumeration Date2022-04-13
Last Update Date2025-07-12
Business Address
KLAYME-SHANE BOUCHER DO
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216-2530
Phone number: 210-525-1668
Mailing Address
KLAYME-SHANE BOUCHER DO
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216-2530
Phone number: 210-525-1668