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

Paul Laval Puckett, PAC

Individual provider Medical Physician Assistant · NPI 1407961410

Paul Laval Puckett, PAC is a Physician Assistant in Greenville, Texas. Qualified in 2000, 26 years ago. Practices with Puckett Family Clinic, PC, a 2-clinician group. Licensed in Texas.

Years since qualifying
26
Licensed in
TX
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

4215 Joe Ramsey Blvd
Greenville, TX 75403
Phone: (903) 408-5000
Fax: (214) 712-2487
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA02778 (TX)

Record details

NPI number1407961410
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Puckett Family Clinic, P.C. — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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