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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, M.D. P.A.

NPI # 1134449960
LBN Legal business name OCTAVIO LICON, M.D. P.A.
Authorized official OCTAVIO LICON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/03/2010
Last updated 06/03/2010 - About 16 years ago
Identifiers
TX License # F2773
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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