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Contact Information

OCTAVIO LICON, M.D. P.A.
10410 VISTA DEL SOL DR.
EL PASO, TX79925
 Phone: 915-592-3323
 Fax: 915-593-8571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for OCTAVIO LICON MD PA · (Female)

NPI # 1134449960
Status Active
Credentials
Entity Individual
Enumeration date 06/03/2010
Last updated 06/03/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # F2773
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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