DR. OCTAVIO LICON MD
NPI 1629057179
Orthopaedic Surgery in El Paso, TX

Active since January 12, 2006
10410 VISTA DEL SOL DR, EL PASO, TX 79925(915) 592-3323(915) 593-8571 Get Directions Write a Review

NPPES record last updated: April 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Octavio Licon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OCTAVIO LICON MD (NPI 1629057179) is an individual orthopaedic surgery provider in El Paso, Texas, licensed in Texas (F2773) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1629057179
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. OCTAVIO LICONCredential: MD
Location Address10410 VISTA DEL SOL DREl Paso, TX 79925-7919
Mailing Address10410 Vista Del Sol DrEl Paso, TX 79925-7919 · (915) 592-3323 · Fax (915) 593-8571
Fax(915) 593-8571
Sole ProprietorYes
Enumeration DateJanuary 12, 2006
Last NPPES UpdateApril 6, 2010
NPI 1629057179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in TX · F2773 Licensed in NM · 86-269
Definition
An orthopaedic surgeon 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. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems 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. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License F2773 (TX), 86-269 (NM)
10410 VISTA DEL SOL DR, El Paso, TX 79925

Other Names 1

Professional Name (2)Octavio P Licon M.d.

Other Identifiers 4

MedicaidP000EN585TX
Medicare ID-Type Unspecified00EN58TX
Medicaid0000Y3758NM
Medicare UPINB24377

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
10410 VISTA DEL SOL DR
EL PASO, TX 79925
Physical Medicine & Rehabilitation
10410 VISTA DEL SOL DR
EL PASO, TX 79925
Surgery (Vascular Surgery)
10410 VISTA DEL SOL DR
EL PASO, TX 79925
General Practice
10410 VISTA DEL SOL DR
EL PASO, TX 79925
Orthopaedic Surgery
10410 VISTA DEL SOL DR
EL PASO, TX 79925
Nurse Practitioner (Family)
10410 VISTA DEL SOL DR
EL PASO, TX 79925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Octavio Licon's NPI number?

The NPI number for Octavio Licon is 1629057179. It was assigned to this individual provider in the NPPES registry on January 12, 2006. The provider is also known as Octavio P Licon M.D..

Where is Octavio Licon located?

Octavio Licon practices at 10410 Vista Del Sol Dr, El Paso, TX 79925. The listed phone number is (915) 592-3323.

What is Octavio Licon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Octavio Licon was last updated on April 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.