ANCESLO IDICULA, MD
Radiology at 4 St, Lubbock, TX

License number
Texas BP10052704
Category
Radiology
Type
Surgery
Address
Address
3601 4Th St #MS 8312, Lubbock, TX 79430
Phone
(806) 743-2373
(806) 743-4354 (Fax)
National Provider ID: 1528446572
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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