Anthony Manning Boucher, MPT is a
Physical Therapist based in Quinlan, Texas. Anthony Manning Boucher is licensed to practice in Texas (license number 1105583) and his current practice location is
8885 Hwy 34 South, Quinlan, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 356-4100.
NPI number for Anthony Manning Boucher is 1790847317 and his current mailing address is Po Box 2500, Rockwall, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790847317.
Healthcare Provider's Profile
| Full Name | Anthony Manning Boucher |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 8885 Hwy 34 South, Quinlan, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790847317
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 02/21/2008
Medical Identifiers
Medical identifiers for Anthony Manning Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790847317 | NPI | - | NPPES |
| 165348701 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1105583 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anthony Manning Boucher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Anthony Manning Boucher, MPT
Po Box 2500,
Rockwall, TX 75087
Ph: (972) 771-0999 | Anthony Manning Boucher, MPT
8885 Hwy 34 South,
Quinlan, TX 75474
Ph: (903) 356-4100 |
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