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Search › Texas › 390200000X

Cyril Custodio

NPI 1689553232 · on the registry since 2025 · sole proprietor

Practice

Address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234
Phone
(610) 539-1047
Organisation at this address
Ncng
Amc Bamc-Fsh
Dr. Angela Sallie, Pllc
Brooke Army Medical Center
Brooke Army Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,490

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-28
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas