Dr. Winslo K Idicula
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
3601 4th Street Stop 9905
Lubbock
, Texas 79430-3153
Dr. Winslo K Idicula
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
3601 4th Street Stop 9905
Lubbock
, Texas 79430-3153
(214) 680-9624
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Winslo K Idicula
- 4007 127th St
- Lubbock, TX
- Zip : 79423
- Phone : (214) 680-9624
Second Address
- Dr. Winslo K Idicula
- 3601 4th Street Stop 9905
- Lubbock, TX
- Zip : 79430-3153
- Phone : (806) 743-3277
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FAQs
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Is Dr. Winslo K Idicula a sole practitioner?
Is Dr. Winslo K Idicula accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 57017666 | OH |
| Y | 207YP0228X | Pediatric Otolaryngology | R0023 | TX |
National Provider Identifier
| NPI | 1851604573 |
|---|---|
| Provider Name | Dr. Winslo K Idicula |
| First Address | Lubbock, TX 79423 |
| Second Address | Lubbock, TX 79430-3153 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2010 |
| Last Update Date | 26/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.