person
Mr. Israel D. Custodio, PA-C
Medical Physician Assistant in San Antonio, Texas
NPI 1366570087

Israel D. Custodio is a Medical Physician Assistant based in San Antonio, TX and is specialized in Medical. Israel D. Custodio practices in San Antonio, TX and has the professional credentials of PA-C. The NPI Number for Israel D. Custodio is 1366570087 and holds a License No. PA01549 (Texas).

The current practice location address for Israel D. Custodio is 4805 Fredericksburg Rd, San Antonio, TX and can be reached out via phone at 210-979-7999 and via fax at 210-798-2457.

Location: 4805 Fredericksburg Rd, San Antonio, TX, 78229-3627
person
Provider Profile Details
NPI Number
1366570087
Provider Name
Israel D. Custodio
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4805 Fredericksburg Rd, San Antonio, TX, 78229-3627
Phone Number
210-979-7999
Fax Number
210-798-2457
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4805 Fredericksburg Rd
City
State
Zip
78229-3627
Phone Number
210-979-7999
Fax Number
210-798-2457
person
Provider Business Mailing Address Details
Address
4805 Fredericksburg Rd
City
State
Zip
78229-3627
Phone Number
210-979-7999
Fax Number
210-798-2457
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01549 (Texas)
Definition
Definition to come...
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