Dr. Octavio Licon is a El Paso, Texas based male orthopedic surgeon who is specialized in Orthopedic Surgery. Active license number of Dr. Octavio Licon is F2773 for Orthopedic Surgery in Texas.
Dr. Octavio Licon 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 including the patients with musculoskeletal problems which 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. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Dr. Octavio Licon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopedic Surgery
Credentials:
MD
Gender:
Male
Practice Address:
10410 Vista Del Sol Dr, El Paso, Texas, 79925-7919
Phone:
915-592-3323
Fax:
915-593-8571
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1629057179
NPI Enumeration Date:
12 Jan, 2006
NPI Last Update On:
06 Apr, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Octavio Licon are as mentioned below.
License Number
Specialization
State
Status
F2773
Orthopedic Surgery
Texas
Primary
86-269
Orthopedic Surgery
New Mexico
Secondary
F2773
Hand Surgery
Texas
Secondary
86-269
Hand Surgery
New Mexico
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Octavio Licon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P000EN585
Medicaid
Texas
0000Y3758
Medicaid
New Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10410 Vista Del Sol Dr, El Paso, Texas
Zip:
79925-7919
Phone Number:
915-592-3323
Fax Number:
915-593-8571
Patients can reach Dr. Octavio Licon at 10410 Vista Del Sol Dr, El Paso, Texas or can call to book an appointment on 915-592-3323. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.