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 provides Family Medicine Physician services 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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