Individual
DR. MARK DOUGLAS PUCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 SOUTH LOOP W, HOUSTON, TX 77054-3825
(713) 797-6106
(713) 790-0507
Mailing address
912 AVENUE J, DICKINSON, TX 77539-5294
(281) 337-8010
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
G3707
TX
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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