Anceslo Idicula, MD

NPI #1528446572 in Lubbock, Texas

Provider Information

NPI Number
1528446572
Entity Type
Individual
Name
Anceslo Idicula, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Surgery - Surgery of the Hand
Credential
MD
Enumeration Date
May 11, 2015
Last Updated
Sep 8, 2023

Practice Location

Address
3601 4TH ST # MS 8312
State
Texas
ZIP Code
79430-0002
Phone
(806) 743-2373

Specialties & Taxonomy Codes

Specialty
Surgery
Surgery - Surgery of the HandSurgery of the Hand

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