P Praxis·MD
● Active Type 1 · Individual

Cyril Carreon Custodio

Student in an Organized Health Care Education/Training Program·Fort Sam Houston, TX· NPI 1689553232 · Enumerated 2025 · 0 years on NPI
Custodio is 1 of 55 student in an organized health care education/training program providers in Fort Sam Houston and 1 of 17977 in Texas.
NPI age
— years
Enumerated 2025-08-28
Primary specialty
Student in an Organized Health Care Education/Training Program
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 17977 active student in an organized health care education/training program providers in Texas.

NPI age
0 years
↓ 2 yr below median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
6% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-08Enumerated in NPPES
2025 2026

Where they practice

Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 6105391047
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 6105391047

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 1394 other active providers share this practice address in NPPES.

Recently enumerated nearby: 10 new student in an organized health care education/training program providers have been added in Fort Sam Houston in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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