DR. OCTAVIO LICON (MD) – Orthopaedic Surgery Physician, NPI 1629057179

DR. OCTAVIO LICON (MD) is a healthcare provider. based in El paso, Texas. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. 86-269 (NM). The NPI Number for DR. OCTAVIO LICON (MD) is 1629057179

Main info

Male
Sole Proprietor
Name
DR. OCTAVIO LICON (MD)
NPI
1629057179
Phone
(915) 592-3323
Address
10410 VISTA DEL SOL DR
Enumeration Date
12 January 2006
Last Update Date
6 April 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for DR. OCTAVIO LICON (MD)

  • 10410, Vista del Sol Drive, El Paso, El Paso County, Texas, 79925, United States

    EL PASO, TX 799257919

    Phone: (915) 592-3323

    Fax: (915) 593-8571

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79925)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify DR. OCTAVIO LICON (MD) with an NPI only?
You can start verification with NPI 1629057179 for DR. OCTAVIO LICON (MD), then check state licensing separately.
Can I rely on DR. OCTAVIO LICON (MD) being an active provider?
As of the registry snapshot, DR. OCTAVIO LICON (MD) is marked active.
What is DR. OCTAVIO LICON (MD) best known for clinically?
Directory data describes DR. OCTAVIO LICON (MD) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DR. OCTAVIO LICON (MD) serve?
DR. OCTAVIO LICON (MD)'s listing highlights El Paso, Texas; more addresses can appear in NPPES.
Why does DR. OCTAVIO LICON (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. JACOB SAMUEL HEYDEMANN (M.D.)

Orthopaedic Surgery Physician
Murchison Drive, El Paso, El Paso County, Texas, 79902, United States of America
NPI: 1548263635

DR. THOMAS E ALOST (M.D.)

Orthopaedic Surgery Physician
North Mesa Street, Downtown Historic District, El Paso, El Paso County, Texas, 79901, United States
NPI: 1508864182

DR. ALVARO A HERNANDEZ (M.D.)

Orthopaedic Surgery Physician
4646, North Mesa Street, El Paso, El Paso County, Texas, 79912, United States
NPI: 1013915503

DR. KEITH R JOHNSON (M.D. P.A.)

Sports Medicine (Orthopaedic Surgery) Physician
Murchison, Avenida Millán, Paso de las Duranas, Montevideo, 11700, Uruguay
NPI: 1558369058

MR. GREGORY ROBERT MISENHIMER (M.D.)

Orthopaedic Surgery of the Spine Physician
El Paso Orthopedic Specialty Group, 1720, Murchison Drive, El Paso, El Paso County, Texas, 79902, United States
NPI: 1114925229

FERNANDO RAVESSOUD (M.D.)

Orthopaedic Surgery Physician
3215, Gateway Boulevard West, El Paso, El Paso County, Texas, 79903, United States
NPI: 1235125634

MICHAEL A FALLON (MD)

Orthopaedic Surgery Physician
El Paso Orthopedic Specialty Group, 1720, Murchison Drive, El Paso, El Paso County, Texas, 79902, United States
NPI: 1457341810

MR. RANDY J POLLET (MD)

Orthopaedic Surgery Physician
1725, Brown Street, El Paso, El Paso County, Texas, 79902, United States
NPI: 1437131463