SearchTexas363LF0000X

Pedro Medina

NPI 1366915613 · on the registry since 2019

Practice

Address
10410 Vista Del Sol Dr Ste 298
El Paso, TX 79925
Phone
(915) 200-2680
Fax
(915) 200-2680
Organisation at this address
Carlos Gonzalez
Octavio Licon, M.D. P.A.
Umc El Paso Healthcare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363L00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-18

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