Individual provider · Type 1 NPI

Fredric Clark Puckett, DO

Family Medicine Physician · Ennis, TX

NPI number 1154596765 Active

Practice location

2203 W Lampasas St, Suite 205
Ennis, TX 75119-5644

Call (972) 875-6200 Map

Fax (972) 875-6414

Mailing address

2203 W Lampasas St Ste 111
Ennis, TX 75119-5667

Other practice locations

  • 2201 W Lampasas St, Ennis, TX 75119-5644 · (972) 875-0900
  • 600 S Bonham St, Mexia, TX 76667-3603 · (254) 562-5332

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XN1080 (TX)
Family Medicine Physician Primary 207Q00000XN1080 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1154596765

Fredric Clark Puckett, DO's National Provider Identifier is 1154596765, issued on Apr 24, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ennis, TX. The record was last updated on Apr 23, 2026.