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Dr. Fredric Clark Puckett, DO
Family Medicine Physician in Ennis, Texas
NPI 1154596765

Fredric Clark Puckett is a Family Medicine Physician based in Ennis, TX. Fredric Clark Puckett practices in Ennis, TX and has the professional credentials of DO. The NPI Number for Fredric Clark Puckett is 1154596765 and holds a License No. N1080 (Texas).

The current practice location address for Fredric Clark Puckett is 2203 W Lampasas St, Ennis, TX and can be reached out via phone at 972-875-6200 and via fax at 972-875-6414.

Location: 2203 W Lampasas St, Ennis, TX, 75119-5667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154596765
Provider Name
Fredric Clark Puckett
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2203 W Lampasas St, Ennis, TX, 75119-5667
Phone Number
972-875-6200
Fax Number
972-875-6414
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208303201 05 TX
208303202 05 TX
institution
Provider Business Practice Location Address Details
Address
2203 W Lampasas St
City
Ennis
State
Texas
Zip
75119-5644
Phone Number
972-875-6200
Fax Number
972-875-6414
person
Provider Business Mailing Address Details
Address
2203 W Lampasas St
City
Ennis
State
Texas
Zip
75119-5644
Phone Number
972-875-6200
Fax Number
972-875-6414
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
N1080 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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