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1972689644
CARLOS E LICON
SAN ANTONIO, TX
NPI
1972689644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX M4290)
Enumeration Date
2006-10-27
Last Update Date
2023-03-07
Business Address
CARLOS E LICON M.D.
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221-3117
Phone number: 210-334-3760
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Mailing Address
CARLOS E LICON M.D.
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221-3117
Phone number: 210-334-3700
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