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 provides Family Nurse Practitioner services 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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