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SAN ANTONIO FUNCTIONAL HEALTH PLLC
NPI 1407621964
Family Medicine in San Antonio, TX

Active since November 15, 2023
1602 MCCULLOUGH AVE, SAN ANTONIO, TX 78212(210) 468-1891(210) 568-4905 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About San Antonio Functional Health Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN ANTONIO FUNCTIONAL HEALTH PLLC (NPI 1407621964) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since November 2023. The organization lists Jacob Liserio Torres, Member, as its authorized official.

NPPES Registry Identity

NPI1407621964
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAN ANTONIO FUNCTIONAL HEALTH PLLC
Location Address1602 MCCULLOUGH AVESan Antonio, TX 78212-4434
Mailing Address1602 Mccullough AveSan Antonio, TX 78212-4434 · (210) 468-1891 · Fax (210) 568-4905
Phone(210) 468-1891
Fax(210) 568-4905
Organization SubpartNo
Authorized OfficialJacob Liserio TorresMember · (210) 468-1891
Enumeration DateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
✔ NPI 1407621964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1602 MCCULLOUGH AVE, San Antonio, TX 78212
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTURO RANGEL JR. FNP-C
Nurse Practitioner (Family)
1602 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 468-1891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Antonio Functional Health PLLC's NPI number?

The NPI number for San Antonio Functional Health PLLC is 1407621964. It was assigned to this organization in the NPPES registry on November 15, 2023.

Where is San Antonio Functional Health PLLC located?

San Antonio Functional Health PLLC is located at 1602 Mccullough Ave, San Antonio, TX 78212. The listed phone number is (210) 468-1891.

What is San Antonio Functional Health PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for San Antonio Functional Health PLLC was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.