ISRAEL D. CUSTODIO

SAN ANTONIO, TX
NPI1366570087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA01549)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
Mr. ISRAEL D. CUSTODIO PA-C
4805 FREDERICKSBURG RD
SAN ANTONIO, TX 78229-3627
Phone number: 210-979-7999
Mailing Address
Mr. ISRAEL D. CUSTODIO PA-C
4805 FREDERICKSBURG RD
SAN ANTONIO, TX 78229-3627
Phone number: 210-979-7999
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