Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDRIC CLARK PUCKETT, D.O.
Active Sole ProprietorDR. FREDRIC CLARK PUCKETT, D.O. is a Family Medicine healthcare provider located in ENNIS, Texas. NPI 1154596765 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ENNIS, TX
Registration Details
- NPI Number
- 1154596765
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2008 (18.128478875541 yrs)
- Last Updated
- Apr 5, 2022
- License
-
N1080 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2203 W LAMPASAS STSUITE 205ENNIS, TX, 751195644Browse TX providers · Browse ZIP 75119
- Phone
- 9728756200
- Fax
- 9728756414
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ENNIS, TX
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN BRUNO ARKUSINSKI | D.O. | 1093714826 |
| DR. BILL RAY LEE | MD | 1316911233 |
| DR. DANNY BLAYNE LAWS | M.D. | 1306890645 |
| THOMAS TRAN | M.D. | 1104843705 |
| DAVEY M PERRIN | MD | 1518057439 |
| DR. RAYMOND WESLEY BLAIR JR. | MD | 1417077207 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.