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Dr. Octavio Licon, MD
Orthopedic Hand Surgery Physician in El Paso, Texas
NPI 1629057179

Octavio Licon is a Orthopedic Hand Surgery Physician based in El Paso, TX and is specialized in Hand Surgery. Octavio Licon practices in El Paso, TX and has the professional credentials of MD. The NPI Number for Octavio Licon is 1629057179 and holds a License No. 86-269 (Texas).

The current practice location address for Octavio Licon is 10410 Vista Del Sol Dr, El Paso, TX and can be reached out via phone at 915-592-3323 and via fax at 915-593-8571. You can also correspond with Octavio Licon through the mailing address at 10410 VISTA DEL SOL DR, EL PASO, TX - 79925-7919 (mailing address contact number: 915-592-3323).

Location: 10410 Vista Del Sol Dr, El Paso, TX, 79925-7919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629057179
Provider Name
Octavio Licon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10410 Vista Del Sol Dr, El Paso, TX, 79925-7919
Phone Number
915-592-3323
Fax Number
915-593-8571
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P000EN585 05 TX
0000Y3758 05 NM
institution
Provider Business Practice Location Address Details
Address
10410 Vista Del Sol Dr
City
El Paso
State
Texas
Zip
79925-7919
Phone Number
915-592-3323
Fax Number
915-593-8571
person
Provider Business Mailing Address Details
Address
10410 Vista Del Sol Dr
City
El Paso
State
Texas
Zip
79925-7919
Phone Number
915-592-3323
Fax Number
915-593-8571
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
F2773 (Texas)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
86-269 (New Mexico)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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