Jason Idiculla, O.D

NPI 1467884478 · on the registry since 2013 · sole proprietor

Practice

Address: 14897 Southwest Fwy
Sugar Land, TX 77478
Phone: (281) 265-1001
Fax: (281) 265-1286
Organisation at this address: Sophia L. Burns, Md.,P.A.
Southwest Houston Ob/Gyncenter
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-09-12

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