Individual provider · Type 1 NPI
Anceslo Idicula, MD
Surgery of the Hand (Surgery) Physician · Lubbock, TX
NPI number
1528446572
Active
Practice location
3601 4th St # Ms 8312
Lubbock, TX 79430-0002
Fax (806) 743-4354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | BP10052704 (TX) |
| Surgery of the Hand (Surgery) Physician Primary | 2086S0105X | U5988 (TX) |
Surgery of the Hand (Surgery) Physician: A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
3 other providers at this address
Other surgery of the hand (surgery) physician providers in Lubbock
About NPI 1528446572
Anceslo Idicula, MD's National Provider Identifier is 1528446572, issued on May 11, 2015. The primary taxonomy on file is Surgery of the Hand (Surgery) Physician (2086S0105X), and the practice location is in Lubbock, TX. The record was last updated on Sep 8, 2023.