SearchTexas367500000X

Christi Idicula

NPI 1871984096 · on the registry since 2015

Practice

Address
1125 Damsel Caroline Dr
Lewisville, TX 75056
Phone
(972) 571-3299

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-02-10

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