Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

San Antonio Functional Health PLLC

Organization Family Medicine Physician · NPI 1407621964

San Antonio Functional Health PLLC is a Family Medicine Physician in San Antonio, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1602 McCullough Ave
San Antonio, TX 78212-4434
Phone: (210) 468-1891
Fax: (210) 568-4905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1407621964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Torres — Member · (210) 468-1891
NPI enumeratedNovember 15, 2023
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address1602 McCullough Ave, San Antonio, TX 78212-4434

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