Active NPI
Lynell Aurora Perez Puckly, M.D.
- Obstetrics & Gynecology Physician
- Webster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- N9398
- Practice address
- 450 W Medical Center Blvd
Suite 400
Webster, TX 77598-4234 - Phone
- (281) 338-0085
- Fax
- (281) 332-9532
- NPI assigned
- May 22, 2008
- Last updated
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | N9398 | TX | Primary |
Addresses
Primary practice location
450 W Medical Center Blvd
Suite 400
Webster, TX 77598-4234
Mailing address
450 Medical Center Blvd
Suite 400
Webster, TX 77598-4233
Phone (281) 338-0085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Arlington Physician Services PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Pediatrix Medical Group of Texas Billing, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101
500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650
Interoperability endpoints
- lpuckly370510@direct.stlukeshealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Mansfield, TX
- NPI 1093144610
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1114184447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 MEDICAL CENTER BLVD",
"address_2": "SUITE 400",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984233",
"telephone_number": "281-338-0085",
"fax_number": "281-332-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 W MEDICAL CENTER BLVD",
"address_2": "SUITE 400",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984234",
"telephone_number": "281-338-0085",
"fax_number": "281-332-9532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ PUCKLY",
"first_name": "LYNELL",
"middle_name": "AURORA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "N9398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.