FREDRIC CLARK PUCKETT

ENNIS, TX
NPI1154596765
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  N1080)
Enumeration Date2008-04-24
Last Update Date2022-04-05
Business Address
Dr. FREDRIC CLARK PUCKETT D.O.
2203 W LAMPASAS ST SUITE 205
ENNIS, TX 75119-5644
Phone number: 972-875-6200
Mailing Address
Dr. FREDRIC CLARK PUCKETT D.O.
2203 W LAMPASAS ST STE 111
ENNIS, TX 75119-5667
Phone number: 972-875-6200