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MRS. KATIE ANN PUCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6435 S FM 549 STE 201, HEATH, TX 75032-6225
(214) 771-3712
Mailing address
1159 WATERSCAPE BLVD, ROYSE CITY, TX 75189-2104
(325) 201-6165

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1121095
TX

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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