Individual
DR. ANTHONY J. CECALUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8600
(806) 775-8602
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F3427
TX
2080P0207X
Pediatric Hematology & Oncology Physician
F3427
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14976366
—
NM
01
—
88932
PRESBYTERIAN COMMERCIAL
NM
05
—
88932
—
NM
01
—
8C0182
BCBS
TX
01
—
8G6054
BC/BS
TX
01
—
8P8412
HMO BLUE
TX
01
—
J004
TRIWEST
NM
Enumeration date
11/02/2005
Last updated
07/12/2007
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