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

Individual provider Orthopaedic Surgery Physician · NPI 1629057179

Dr. Octavio Licon, MD is an Orthopaedic Surgery Physician in El Paso, Texas. Practices as a sole proprietor. Licensed in New Mexico and Texas.

Licensed in
NM, TX
In the registry since
2006
Specialties on file
4
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

10410 Vista Del Sol Dr
El Paso, TX 79925-7919
Phone: (915) 592-3323
Fax: (915) 593-8571
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Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence F2773 (TX)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 86-269 (NM)
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X · Licence F2773 (TX)
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X · Licence 86-269 (NM)

Record details

NPI number1629057179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 12, 2006
Last updated in NPPESApril 6, 2010
Mailing address10410 Vista Del Sol Dr, El Paso, TX 79925-7919

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