Individual
ISAGANI L. SACULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4315 28TH ST SUITE 2, SUITE 1C282, LUBBOCK, TX 79410-2507
(806) 792-2104
Mailing address
1503 LANCELOT AVENUE, WOLFFORTH, TX 79382-3200
(903) 452-3558
(806) 745-2337
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP114739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149984100
FIRSTCARE COMMERCIAL
TX
05
—
149984101
—
TX
05
—
182510101
—
TX
05
—
200082440A
—
OK
01
—
202005978
PRESBYTERIAN COMMERCIAL
NM
05
—
202005978
—
NM
01
—
70408009
CONSULTEC
NM
01
—
86408U
HMO BLUE
TX
01
—
86409U
BC/BS
TX
Enumeration date
06/18/2006
Last updated
01/11/2023
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