Dr. Octavio Licon, MD
Dr. Octavio Licon, MD is an Orthopaedic Surgery Physician in El Paso, Texas. Practices as a sole proprietor. Licensed in New Mexico and Texas.
- Licensed in
- NM, TX
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
10410 Vista Del Sol DrEl Paso, TX 79925-7919
Phone: (915) 592-3323
Fax: (915) 593-8571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence F2773 (TX) |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 86-269 (NM) |
| Orthopaedic Hand Surgery Physician | Taxonomy 207XS0106X · Licence F2773 (TX) |
| Orthopaedic Hand Surgery Physician | Taxonomy 207XS0106X · Licence 86-269 (NM) |
Record details
| NPI number | 1629057179 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2006 |
| Last updated in NPPES | April 6, 2010 |
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David J Mansfield, MD
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