Individual
OSCAR LICON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
236 NIMBUS RD, EL PASO, TX 79912-3818
(915) 243-3920
Mailing address
236 NIMBUS RD, EL PASO, TX 79912-3818
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT141737
TX
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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