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Carlos E Licon, MD
Family Medicine Physician in San Antonio, Texas
NPI 1972689644

Carlos E Licon is a Family Medicine Physician based in San Antonio, TX. Carlos E Licon practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Carlos E Licon is 1972689644 and holds a License No. M4290 (Texas).

The current practice location address for Carlos E Licon is 3750 Commercial Ave, San Antonio, TX and can be reached out via phone at 210-334-3760 and via fax at 210-923-6355.

Location: 3750 Commercial Ave, San Antonio, TX, 78221-3117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972689644
Provider Name
Carlos E Licon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3750 Commercial Ave, San Antonio, TX, 78221-3117
Phone Number
210-334-3760
Fax Number
210-923-6355
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
184983801 05 TX
X0148767 01 TX DPS
8G8247 01 TX BCBS
94846 01 TX CARELINK
institution
Provider Business Practice Location Address Details
Address
3750 Commercial Ave
City
San Antonio
State
Texas
Zip
78221-3117
Phone Number
210-334-3760
Fax Number
210-923-6355
person
Provider Business Mailing Address Details
Address
3750 Commercial Ave
City
San Antonio
State
Texas
Zip
78221-3117
Phone Number
210-334-3760
Fax Number
210-923-6355
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M4290 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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