Israel Custodio, PA-C

Individual Active
NPI 1366570087
Medical Physician Assistant San Antonio, TX

Israel Custodio, PA-C is a medical physician assistant practicing in San Antonio, TX. The NPI was issued on March 2, 2007, and the record was last updated in NPPES on July 8, 2007.

This record hasn't been updated in NPPES since 2007. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA01549 (TX)

Practice location

4805 Fredericksburg Rd
San Antonio, TX 78229-3627
Phone: (210) 979-7999

Local context

Active NPPES records list 275 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 207 of them within 10 miles.

The same primary taxonomy is listed by 2,223 in Texas and 40,084 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Israel D. Custodio
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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