IndividualActive
Winslo Idicula, M.D.
NPI 1851604573 · Pediatric Otolaryngology Physician · Lubbock, TX
Provider details
- NPI number
- 1851604573
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 57017666 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
3601 4th Street Stop 9905
Lubbock, TX 79430-3153
Phone: (806) 743-3277
Approximate (ZIP-level) locationGet directions
Mailing address
4007 127th St
Lubbock, TX 79423
Additional practice locations (1)
- 915 Olentangy River RdColumbus, OH 43212-3153Phone: (614) 293-9215
Registry dates
- Enumerated
- 2010-07-22
- Last updated
- 2021-03-26
- Certified
- 2021-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.