Mark Douglas Pucek, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

G3707 Issued in TX

Practice address

1414 South Loop W
Houston, TX 77054-3825

Phone

(713) 797-6106

Fax

(713) 790-0507

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720018708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 AVENUE J",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775395294",
            "telephone_number": "281-337-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SOUTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543825",
            "telephone_number": "713-797-6106",
            "fax_number": "713-790-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCEK",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TX",
            "license": "G3707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yi-Wen Michelle Pu, M.D., M.H.A.
• Paul Pua
• Rudolph B Puana, M.D.
• Christopher David Puariea, SLP-ASSISTANT
• Public Express Inc
• Stephanie Pucek, PT
• Bharat K Puchakayala, MD
• Kristina Lynn Puckett Guerrero
• Ashley J Puckett, CRNA
• Billy Puckett, DDS

• Preventive Medicine/Occupational Environmental Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.