Oscar Licon, LMT
Massage Therapist in El Paso, TX. Individual provider (NPI-1).
NPI number1619851003
StatusActive
Last updated in NPPESJul 31, 2025
Details
- NPI
- 1619851003
- Entity type
- Individual (NPI-1)
- Name
- Oscar Licon
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2025
- Certification date
- Jul 31, 2025
- Last updated
- Jul 31, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT141737 | TX | Yes |
Practice location
236 Nimbus RdEl Paso, TX 79912-3818
Phone 915-243-3920
Mailing address
236 Nimbus RdEl Paso, TX 79912-3818
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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