Search › Texas › 363AM0700X
Israel Custodio, PA-C
NPI 1366570087 · on the registry since 2007
Practice
- Address
- 4805 Fredericksburg Rd
San Antonio, TX 78229 - Phone
- (210) 979-7999
- Fax
- (210) 798-2457
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas