Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fredric Clark Puckett, DO

Individual provider Emergency Medicine Physician · NPI 1154596765

Dr. Fredric Clark Puckett, DO is a Family Practice in Ennis, Texas. Qualified in 2006, 20 years ago. Practices with Dr Fredric Puckett PLLC, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2203 W Lampasas St Ste 205
Ennis, TX 75119-5644
Phone: (972) 875-6200
Fax: (972) 875-6414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N1080 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence N1080 (TX)

Record details

NPI number1154596765
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 24, 2008
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address2203 W Lampasas St Ste 111, Ennis, TX 75119-5667

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Dr. Fredric Puckett Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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