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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANCESLO IDICULA, MD

Active Sole Proprietor

ANCESLO IDICULA, MD is a Surgery of the Hand healthcare provider located in LUBBOCK, Texas. NPI 1528446572 is currently active in the NPPES registry. Verify at CMS.

Surgery of the Hand · LUBBOCK, TX

Registration Details

NPI Number
1528446572
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2015 (11.293760742001 yrs)
Last Updated
Sep 8, 2023
Licenses
BP10052704 (TX)
U5988 (TX)
Sole Proprietor
Yes

Practice Information

Address
3601 4TH ST # MS 8312
LUBBOCK, TX, 794300002
Browse TX providers · Browse ZIP 79430
Phone
8067432373
Fax
8067434354
Primary Specialty
Surgery of the Hand
2086S0105X
Additional Specialty
Surgery of the Hand

Other Surgery of the Hand Providers in LUBBOCK, TX

Name Credential NPI
DESIRAE M MCKEE MD 1316156284
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.