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

Sovereignty Functional Medicine

Organization Family Nurse Practitioner · NPI 1124983747

Sovereignty Functional Medicine is a Family Nurse Practitioner in San Antonio, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3410 Stoney Byu
San Antonio, TX 78245-4057
Phone: (210) 416-2075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1124983747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alma Lozano Mercado — Provider/Manager · (210) 416-2075
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address2900 E Broadway Blvd Ste 100, Tucson, AZ 85716-5344

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