Dr. Fredric Puckett, PLLC
NPI 1073748562 · Family Medicine Physician · Ennis, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr. Fredric Puckett, PLLC is a Family Medicine Physician organization in Ennis, TX (NPI 1073748562).
Provider details
- NPI number
- 1073748562
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fredric Puckett, Physician/Owner(972) 875-6200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-27
- Last updated
- 2024-06-13
- Certified
- 2022-04-05
Frequently asked questions
- What is Dr. Fredric Puckett, PLLC's NPI number?
- Dr. Fredric Puckett, PLLC's National Provider Identifier (NPI) is 1073748562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Fredric Puckett, PLLC?
- Dr. Fredric Puckett, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dr. Fredric Puckett, PLLC located?
- Dr. Fredric Puckett, PLLC's practice location on file with NPPES is 2203 W Lampasas St Ste 111, Ennis, TX 75119-5667.
- What is Dr. Fredric Puckett, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dr. Fredric Puckett, PLLC is (972) 875-6200.
- Does Dr. Fredric Puckett, PLLC accept Medicare?
- Dr. Fredric Puckett, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr. Fredric Puckett, PLLC?
- The authorized official listed on Dr. Fredric Puckett, PLLC's NPPES record is Fredric Puckett, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Fredric Puckett, PLLC's NPI active?
- Yes — Dr. Fredric Puckett, PLLC's NPI (1073748562) is active in the NPPES registry as of the last update on 2024-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.