DR. FREDRIC PUCKETT, PLLC
Ambulatory Health at Lampasas St, Ennis, TX

License number
Texas N1080
Category
Ambulatory Health
Type
Primary Care
Owner
Name: FREDRIC CLARK PUCKETT DO
Title: SOLE MEMBER
Phone: (972) 875-7799
Address
Address
2203 W Lampasas St SUITE 101, Ennis, TX 75119
National Provider ID: 1073748562
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dr. Fredric Puckett, Pllc

2203 W Lampasas St, Ennis, TX 75119

Industry:
Medical Doctor's Office
Registration:
Mar 26, 2009
State ID:
801102762
Business type:
Domestic Limited Liability Company (LLC)
Managers:
Fredrick Puckett (President),Fredric Puckett Manager, inactive

Ambulatory Health licenses in Texas




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