| Gerald Justin Enox, RN, BSN, FNP-C | |
|
1301 E Main St, Honey Grove, TX 75446-1268 | |
| (903) 378-3444 | |
| (903) 378-3445 |
| Full Name | Gerald Justin Enox |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1301 E Main St, Honey Grove, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932688280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1006721 (Texas) | Primary |
| Entity Name | Puckett Family Clinic, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295937449 PECOS PAC ID: 6103918735 Enrollment ID: O20070827000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Justin Enox, RN, BSN, FNP-C 950 Jana St, Reno, TX 75462-6110 Ph: (903) 421-3809 | Gerald Justin Enox, RN, BSN, FNP-C 1301 E Main St, Honey Grove, TX 75446-1268 Ph: (903) 378-3444 |
Mandy Lynette Phipps, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 437 County Road 3542, Honey Grove, TX 75446 Phone: 903-227-3553 | |
Angela Dawn Ary, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 E Main St, Honey Grove, TX 75446 Phone: 903-378-3444 Fax: 903-378-3445 | |
Cheyenne Rae Burris, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 E Main St, Honey Grove, TX 75446 Phone: 903-378-3444 |