Lund, Howard Willard
Lund, Howard Willard is an individual health care provider with primary practice located at 855 Montgomery , Fort Worth TX 76107-2553. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Lund, Howard Willard can be contacted via phone (817) 735-3627.Contact Information
Primary practice address
855 Montgomery
Fort Worth TX 76107-2553
Phone: (817) 735-3627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | H0582 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H0582 | Texas |
Profile Details
| NPI number | 1225026164 |
|---|---|
| LBN Legal business name | Lund, Howard Willard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Feb 7th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225026164 | NPPES |
| Texas | Other | 0041NG | BCBS |
| Texas | Other | P01110886 | BCBS |
| Texas | MEDICAID | 136573614 | BCBS |
| Texas | Other | 8DC046 | BCBS |
| Texas | MEDICAID | 136573612 | BCBS |
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