Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carlos E Licon, MD

Individual provider Family Medicine Physician · NPI 1972689644

Carlos E Licon, MD is a Family Practice in San Antonio, Texas. Graduated from University of Colorado School of Medicine, Denver in 2003, 23 years ago. Practices with El Centro Del Barrio Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
23
Trained at
University of Colorado School of Medicine, Denver
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3750 Commercial Ave
San Antonio, TX 78221-3117
Phone: (210) 334-3760
Fax: (210) 923-6355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M4290 (TX)

Record details

NPI number1972689644
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2003 (23 years in practice)
Group practice El Centro Del Barrio Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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