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Octavio Licon, MD
NPI 1629057179 · on the registry since 2006 · sole proprietor
Practice
- Address
- 10410 Vista Del Sol Dr
El Paso, TX 79925 - Phone
- (915) 592-3323
- Fax
- (915) 593-8571
- Organisation at this address
- Carlos Gonzalez
Octavio Licon, M.D. P.A.
Umc El Paso Healthcare IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Orthopaedic Surgery Physician
207X00000X
- Also registered as
- Orthopaedic Surgery Physician
Orthopaedic Hand Surgery Physician
Orthopaedic Hand Surgery Physician - Licence states on file
- NM, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-04-06
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