Individual
HOWARD WILLARD LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 MONTGOMERY, FORT WORTH, TX 76107-2553
(817) 735-3627
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-3627
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H0582
TX
207Q00000X
Family Medicine Physician
H0582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041NG
BCBS
TX
05
—
136573612
—
TX
05
—
136573614
—
TX
01
—
8DC046
BCBS
TX
01
—
P01110886
RAILROAD MEDICARE
TX
Enumeration date
10/13/2005
Last updated
02/07/2013
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