Provider Demographics
NPI:1063825800
Name:VON RUNDSTEDT, FRIEDRICH-CARL EBERHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:FRIEDRICH-CARL
Middle Name:EBERHARD
Last Name:VON RUNDSTEDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7200 CAMBRIDGE STREET
Mailing Address - Street 2:BAYLOR COLLEGE OF MEDICINE DEPARTEMENT OF UROLOGY
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-6841
Mailing Address - Fax:
Practice Address - Street 1:7200 CAMBRIDGE ST
Practice Address - Street 2:BAYLOR COLLEGE OF MEDICINE DEPARTMENT OF UROLOGY
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4202
Practice Address - Country:US
Practice Address - Phone:713-798-6841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program