Idicula, Anceslo
Idicula, Anceslo is an sole proprietor health care provider with primary practice located at 3601 4Th St # Ms 8312 , Lubbock TX 79430-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Idicula, Anceslo can be contacted via phone (806) 743-2373.Contact Information
Primary practice address
3601 4Th St # Ms 8312
Lubbock TX 79430-0002
Phone: (806) 743-2373
Fax: (806) 743-4354
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | BP10052704 | Texas |
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | U5988 | Texas |
Profile Details
NPI number | 1528446572 |
---|---|
LBN Legal business name | Idicula, Anceslo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2015 |
Last updated | Sep 8th, 2023 - about last year |
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.
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