| San Antonio Functional Health Pllc | |
|
1602 Mccullough Ave San Antonio TX 78212-4434 | |
| (210) 468-1891 | |
| (210) 568-4905 |
| Full Name | San Antonio Functional Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1602 Mccullough Ave, San Antonio, Texas |
| Authorized Official Name and Position | Jacob Liserio Torres (MEMBER) |
| Authorized Official Contact | 2104681891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Functional Health Pllc 1602 Mccullough Ave San Antonio TX 78212-4434 Ph: (210) 468-1891 | San Antonio Functional Health Pllc 1602 Mccullough Ave San Antonio TX 78212-4434 Ph: (210) 468-1891 |
| NPI Number | 1407621964 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407621964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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