P Praxis·MD
● Active Type 1 · Individual

Anceslo Idicula, MD

Surgery·Lubbock, TX· NPI 1528446572 · Enumerated 2015 · 11 years on NPI
Idicula is 1 of 3 surgery providers in Lubbock and 1 of 67 in Texas.
NPI age
11 years
Enumerated 2015-05-11
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 67 active surgery providers in Texas.

NPI age
11 years
↓ 6 yr below median (17 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-05Enumerated in NPPES
2015 2026

Where they practice

Practice location
3601 4th St # MS 8312
Lubbock, TX 794300002
📞 8067432373fax 8067434354
Mailing address
3601 4th St # MS 8312
Lubbock, TX 794300002
📞 8067432373fax 8067434354

Specialties

  • Surgery Primary
    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.
    TX license #U5988 taxonomy 2086S0105X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    TX license #BP10052704 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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