Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OCTAVIO LICON, MD
Active Sole ProprietorDR. OCTAVIO LICON, MD is a Orthopaedic Surgery healthcare provider located in EL PASO, Texas. NPI 1629057179 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · EL PASO, TX
Registration Details
- NPI Number
- 1629057179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2006 (20.403217608245 yrs)
- Last Updated
- Apr 6, 2010
- Licenses
-
86-269 (NM)F2773 (TX)F2773 (TX)86-269 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10410 VISTA DEL SOL DREL PASO, TX, 799257919Browse TX providers · Browse ZIP 79925
- Phone
- 9155923323
- Fax
- 9155938571
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Orthopaedic Surgery of the Spine
- Additional Specialty
- Orthopaedic Surgery of the Spine
Other Orthopaedic Surgery Providers in EL PASO, TX
| Name | Credential | NPI |
|---|---|---|
| DR. JACOB SAMUEL HEYDEMANN | M.D. | 1548263635 |
| DR. THOMAS E ALOST | M.D. | 1508864182 |
| DR. ALVARO A HERNANDEZ | M.D. | 1013915503 |
| MICHAEL A FALLON | MD | 1457341810 |
| MR. RANDY J POLLET | MD | 1437131463 |
| JOHN S JACKSON | DO | 1689654600 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.