NPI age
19 years
Enumerated 2007-03-02
● Active
Type 1 · Individual
MR. Israel D. Custodio, PA-C
Custodio is 1 of 215 physician assistant providers in San Antonio and 1 of 2220 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2220 active physician assistant providers in Texas.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
4805 Fredericksburg Rd
San Antonio, TX 782293627
Mailing address
4805 Fredericksburg Rd
San Antonio, TX 782293627
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in San Antonio in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 2220 Physician Assistant providers in Texas?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.