Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 791 | NE |
NPI | 1003040817 |
---|---|
Provider Name | Dr. Titus J Rund |
First Address | Fort Hood, TX 76544-1000 |
Second Address | Fort Hood, TX 76544-5095 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2009 |
Last Update Date | 04/05/2011 |