OCTAVIO LICON, M.D. P.A.

EL PASO, TX
NPI1134449960
Entity TypeOrganization
Authorized ContactOCTAVIO LICON
President
915-592-3323
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: TX  F2773)
Enumeration Date2010-06-03
Last Update Date2010-06-03
Business Address
OCTAVIO LICON, M.D. P.A.
10410 VISTA DEL SOL DR.
EL PASO, TX 79925
Phone number: 915-592-3323
Mailing Address
OCTAVIO LICON, M.D. P.A.
10410 VISTA DEL SOL DR
EL PASO, TX 79925-7919
Phone number: 915-592-3323
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