Individual provider · Type 1 NPI

Klayme-Shane Boucher, DO

Internal Medicine Physician · San Antonio, TX

NPI number 1689317141 Active

Practice location

12446 West Ave Ste 200
San Antonio, TX 78216-2530

Call (210) 525-1668 Map

Other practice locations

  • 4502 Medical Dr, San Antonio, TX 78229-4402 · (210) 358-3555

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000XV8588 (TX)
Internal Medicine Physician Primary 207R00000XV8588 (TX)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1689317141

Klayme-Shane Boucher, DO's National Provider Identifier is 1689317141, issued on Apr 13, 2022. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 12, 2025.