Organization
DR. FREDRIC PUCKETT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRIC CLARK PUCKETT DO (PHYSICIAN/OWNER)
(972) 875-6200
Entity
Organization
Contact information
Practice address
2203 W LAMPASAS ST STE 111, ENNIS, TX 75119-5667
(972) 875-6200
(972) 875-6414
Mailing address
2203 W LAMPASAS ST STE 111, ENNIS, TX 75119-5667
(972) 875-6200
(972) 875-6414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080303202
—
TX
Enumeration date
05/27/2009
Last updated
06/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us