OCTAVIO LICON MD
NPI 1629057179
Orthopaedic Surgery in El Paso,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 12, 2006

Contact Information

10410 Vista Del Sol Dr
El Paso,
Post Code: 79925
Phone: (915) 592-3323
Fax: (915) 593-8571

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Octavio Licon Md in El Paso - Orthopaedic Surgery

Octavio Licon Md is a Orthopaedic Surgery in El Paso, . Octavio Licon Md practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Octavio Licon Md is 1629057179. The last update date is 2010-04-06.

Octavio Licon Md's current location address is 10410 Vista Del Sol Dr, El Paso, . You can contact this provider via phone number (915) 592-3323 and fax number (915) 593-8571. The mailing address for Octavio Licon Md is 10410 Vista Del Sol Dr, El Paso, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1629057179
Provider Name
OCTAVIO LICON MD
Gender
Male
Entity Type
Individual
Location Address
10410 Vista Del Sol Dr, El Paso,
Location Phone
(915) 592-3323
Location Fax
(915) 593-8571
Mailing Address
10410 Vista Del Sol Dr, El Paso, Texas(TX)
Mailing Phone
915-592-3323
Mailing Fax
915-593-8571
Enumeration Date
2006-01-12
Last Update Date
2010-04-06
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
-
License No.
F2773
License State
Texas (TX)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207X00000X Orthopaedic Surgery Physician

Orthopaedic Surgery

86-269 (New Mexico)
2 207XS0106X Orthopaedic Hand Surgery Physician

Orthopaedic Surgery, Hand Surgery

F2773 (Texas)
3 207XS0106X Orthopaedic Hand Surgery Physician

Orthopaedic Surgery, Hand Surgery

86-269 (New Mexico)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0000Y3758 MEDICAID (05) New Mexico (NM)
P000EN585 MEDICAID (05) Texas (TX)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629057179
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26490514114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 26490514114
2 + 6 + 4 + 9 + 0 + 5 + 1 + 4 + 1 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1629057179 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215930367 LAURENT GRESSOT
Individual
Specialist 17323 RED OAK DR
HOUSTON, Texas (TX)
281-440-5006
1396748349 GEORGE M GRUNERT
Individual
Obstetrics & Gynecology, Reproductive Endocrinology 7900 FANNIN ST STE 4000
HOUSTON, Texas (TX)
713-512-7900
1619970662 LISA AMY FRIEDMAN
Individual
Nurse Practitioner, Pediatrics 333 N SANTA ROSA
SAN ANTONIO, Texas (TX)
210-704-2190
1598768541 BERTHA E. ARENAS
Individual
Nurse Practitioner, Family 1702 N ALAMO ST
SAN ANTONIO, Texas (TX)
210-224-1823
1578566501 BAO QUOC H LA
Individual
Obstetrics & Gynecology 915 GESSNER RD
HOUSTON, Texas (TX)
281-589-0156