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Winslo Idicula, M.D

NPI 1851604573 · on the registry since 2010 · sole proprietor

Practice

Address
3601 4th Street Stop 9905
Lubbock, TX 79430
Phone
(806) 743-3277
Clinicians at this address
2

Additional practice sites

  • 915 Olentangy River Rd, Columbus, OH

Registry record

Primary taxonomy
207YP0228X
207YP0228X
Also registered as
207Y00000X
390200000X
Licence states on file
OH, CO, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas