Puckett Family Clinic, P.C.
LBN: Puckett Family Clinic, P.C.
Puckett Family Clinic, P.C. is an health care organization with primary practice located at 1301 E Main St , Honey Grove TX 75446-1268. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Medical. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Puckett Family Clinic, P.C. can be contacted via phone (903) 378-3444, or through Puckett, Paul Laval via phone (903) 378-3444.
Contact Information
Primary practice address
1301 E Main St
Honey Grove TX 75446-1268
Phone: (903) 378-3444
Fax:
Website:
Authorized official contact:
Name: Puckett, Paul Laval Physician's Assistant Certified (PA-C)
Phone: (903) 378-3444
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | PA02778 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA02778 | Texas |
Profile Details
| NPI number | 1295937449 |
|---|---|
| LBN Legal business name | Puckett Family Clinic, P.C. |
| DBA Doing business as | |
| Authorized official | Puckett, Paul Laval Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Oct 25th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295937449 | NPPES |
| Texas | Other | PA02778 | STATE LICENSE |
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