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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 years ago

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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