MR. Israel D. Custodio, PA-C is a medical physician assistant in San Antonio, TX. MR. Israel D. Custodio, PA-C NPI is 1366570087. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4805 FREDERICKSBURG RD
SAN ANTONIO, TX
ZIP 78229-627
Phone: (210) 979-7999
Fax: (210) 798-2457
The enumeration date for this NPI number is 3/2/2007 and was last updated on 7/8/2007.