OrganizationActive
Octavio Licon, M.D. P.A.
NPI 1134449960 · Orthopaedic Surgery Physician · El Paso, TX
Provider details
- NPI number
- 1134449960
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Octavio Licon, President(915) 592-3323
- License
- F2773 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10410 Vista Del Sol Dr.
El Paso, TX 79925
Phone: (915) 592-3323
Fax: (915) 593-8571
Street-level locationGet directions
Mailing address
10410 Vista Del Sol Dr
El Paso, TX 79925-7919
Registry dates
- Enumerated
- 2010-06-03
- Last updated
- 2010-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.