P Praxis·MD
● Active Type 1 · Individual

DR. Fredric Clark Puckett, D.O.

Family Medicine·Ennis, TX· NPI 1154596765 · Enumerated 2008 · 18 years on NPI
Puckett is 1 of 16 family medicine providers in Ennis and 1 of 15966 in Texas.
NPI age
18 years
Enumerated 2008-04-24
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 15966 active family medicine providers in Texas.

NPI age
18 years
≈ at median (17 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-04Enumerated in NPPES
2008 2026

Where they practice

Practice location
2203 W Lampasas St, Suite 205
Ennis, TX 751195644
📞 9728756200fax 9728756414
Mailing address
2203 W Lampasas St Ste 111
Ennis, TX 751195667
📞 9728756200fax 9728756414

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2201 W Lampasas St
Ennis, TX 751195644
📞 9728750900
Location 3
600 S Bonham St
Mexia, TX 766673603
📞 2545625332

Specialties

  • Family Medicine Primary
    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...
    TX license #N1080 taxonomy 207Q00000X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    TX license #N1080 taxonomy 207P00000X

Identifiers

TypeValueNotes
05 (TX) 208303201
05 (TX) 208303202

Practice context

Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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