PAUL LAVAL PUCKETT

GREENVILLE, TX
NPI1407961410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA02778)
Enumeration Date2006-08-20
Last Update Date2024-06-12
Business Address
PAUL LAVAL PUCKETT PAC
4215 JOE RAMSEY BLVD
GREENVILLE, TX 75403
Phone number: 903-408-5000
Mailing Address
PAUL LAVAL PUCKETT PAC
2464 FM 2820
SUMMER, TX 75486
Phone number: 903-784-1291