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Organization
SAN ANTONIO FUNCTIONAL HEALTH PLLC
Active
Organization
SAN ANTONIO FUNCTIONAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB LISERIO TORRES DC (MEMBER)
(210) 468-1891
Entity
Organization
Contact information
Practice address
1602 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-4434
(210) 468-1891
(210) 568-4905
Mailing address
1602 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-4434
(210) 468-1891
(210) 568-4905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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