Anceslo Idicula, MD is a surgery of the hand surgery in Lubbock, TX with 9 years of experience. The provider is 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. Anceslo Idicula, MD NPI is 1528446572. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:2015
The provider's business location address is:
3601 4TH ST # MS 8312
LUBBOCK, TX
ZIP 79430-002
Phone: (806) 743-2373
Fax: (806) 743-4354
The NPI 1528446572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/11/2015 and was last updated on 9/8/2023.