OCTAVIO LICON

EL PASO, TX
NPI1629057179
Professional NameOCTAVIO P LICON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: TX  F2773)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: NM  86-269)
207XS0106X Orthopaedic Surgery, Hand Surgery
(Licence: TX  F2773)
207XS0106X Orthopaedic Surgery, Hand Surgery
(Licence: NM  86-269)
Enumeration Date2006-01-12
Last Update Date2010-04-06
Business Address
Dr. OCTAVIO LICON MD
10410 VISTA DEL SOL DR
EL PASO, TX 79925-7919
Phone number: 915-592-3323
Mailing Address
Dr. OCTAVIO LICON MD
10410 VISTA DEL SOL DR
EL PASO, TX 79925-7919
Phone number: 915-592-3323