San Antonio Telemedicine Doctors for Integrative Functional Medicine
Direct Integrative Care is a telemedicine practice led by Yoon Hang Kim, MD, MPH, offering integrative functional medicine to clients in San Antonio and across licensed states. This guide explains how to evaluate, verify, and engage with telehealth providers for complex health conditions. It covers credential checks, cost structures, and the specific workflow of root-cause medicine.
How to Choose a Provider
Choosing a functional medicine provider requires looking beyond marketing claims. A qualified practitioner focuses on root-cause analysis rather than symptom suppression. You should look for a doctor who explains the mechanism of your illness. They should discuss how your environment, genetics, and lifestyle interact to create your symptoms. For additional details, review the .
Direct Integrative Care operates as a membership-based practice. This model removes insurance coding pressure. It allows the physician to spend more time on clinical reasoning. The practice is capped at 99 active clients. This limit ensures that each member receives the depth of attention required for complex cases. For additional details, review the Customer Experience.
Board Certification and Training
Verify that the provider is board-certified in a relevant field. Preventive medicine is a strong foundation for integrative care. Look for additional training in functional medicine, such as an IFM Scholar designation. Fellowship training at recognized institutions adds further weight to a provider's expertise. For additional details, review the Frequently Asked Questions.
Scope of Practice
Understand what the provider actually does. Some telehealth platforms focus on quick prescriptions. Others focus on deep diagnostic work. Direct Integrative Care centers on root-cause medicine for conditions like autoimmune disease, chronic pain, and mast cell activation syndrome. They do not perform physical exams or procedures as part of the membership. For additional details, review the About.
Questions to Ask Before Committing
Before signing a membership agreement, ask specific questions about the care model. These questions help you determine if the provider is a good fit for your specific health goals.
- What is your approach to testing? Do you order comprehensive panels or rely on standard labs?
- How do you handle complex conditions like mold-related illness or chronic fatigue?
- What is the communication protocol? How often will I speak with the doctor?
- Do you work alongside my primary care physician?
- What are the limitations of telemedicine in your practice?
A transparent provider will answer these questions clearly. They will explain the boundaries of their practice. They will clarify that they are not a primary care replacement but a consultative resource.

Verifying Credentials and Claims
Medical credentials can be verified through public databases. Use the Federation of State Medical Boards (FSMB) Doctor Look-Up tool to check a physician's license status. This tool shows if a license is active, restricted, or lapsed. It also displays any disciplinary actions.
Check for board certification through the relevant certifying board. For preventive medicine, this is the American Board of Preventive Medicine. For functional medicine, look for the IFM certification. These are distinct from general medical licensure. A doctor can be licensed but not board-certified in a specific subspecialty.
Checking for Disciplinary Actions
Review the state medical board website for the state where the doctor is licensed. Look for any complaints or sanctions. A clean record is a baseline expectation. If a doctor has a history of disciplinary actions, proceed with caution.
The Telemedicine Workflow
Initial Consultation
The first visit is typically longer than subsequent visits. It allows the doctor to build a complete picture of your health. They will ask about your environment, diet, sleep, and stress levels. They will also review any previous diagnoses and treatments.
Ongoing Monitoring
After the initial plan is set, the focus shifts to monitoring. The doctor will track your response to interventions. They will adjust the plan as needed. This iterative process is key to functional medicine. It is not a one-time fix but a collaborative journey.
Understanding Membership Costs
What is Included
Common Mistakes to Avoid
Patients often make mistakes when choosing a functional medicine provider. One common error is expecting a quick fix. Functional medicine is a long-term process. It requires patience and commitment. Another mistake is not verifying credentials. Always check the doctor's license and board certification.
Do not assume that telemedicine is the same as in-person care. Telemedicine has limitations. It cannot replace a physical exam. It cannot perform procedures. Choose a provider who is transparent about these limitations. Direct Integrative Care is clear that their services are provided via secure video or telephone. They do not perform hands-on treatment.
Telemedicine vs. In-Person Care
| Physical Exam | No | Yes |
| Procedures | No | Yes |
| Travel Required | No | Yes |
| Focus | Root-Cause Analysis | Varies |
| Cost Model | Membership | Insurance or Cash |
Considerations for Specific Conditions
Some conditions are better suited to telemedicine than others. Chronic pain, fibromyalgia, and chronic fatigue are often well-managed via telehealth. These conditions require ongoing monitoring and adjustment of treatment. They do not always require physical procedures. Autoimmune diseases also benefit from the deep diagnostic work that functional medicine provides.
Conditions that require frequent physical exams or procedures may not be ideal for telemedicine. Acute injuries, surgical needs, and certain diagnostic imaging require in-person care. Choose a provider who is honest about what they can and cannot do via telehealth.
Regulatory Rules and Patient Rights
Telemedicine is regulated by state medical boards. Doctors must be licensed in the state where the patient is located at the time of the consultation. Direct Integrative Care serves clients in Texas, Iowa, Illinois, Missouri, Georgia, and Florida. You must be physically located in one of these states to receive care.
Patients have the right to privacy. Telehealth platforms must comply with HIPAA regulations. This protects your health information. You also have the right to access your medical records. You can request copies of your records from the provider. You have the right to refuse treatment. You can end your membership at any time.
San Antonio and Regional Specifics
San Antonio is a major hub for healthcare in Texas. It has a large number of specialists. However, finding a functional medicine provider who focuses on root-cause analysis can be challenging. Many local clinics operate on a volume model. They may not have the time to do the deep diagnostic work that complex cases require.
Direct Integrative Care has an in-person presence at Hill Country Integrative Medicine in Fredericksburg, Texas. They are also planning expansion toward San Antonio. This allows for some in-person interaction for those in the Hill Country region. For most clients, care is delivered via telemedicine. This allows you to access the practice from anywhere in the licensed states.
Timing Your Care
Timing is important when starting functional medicine. It is best to start when you are ready to commit to the process. It requires time and effort. Do not start if you are in the middle of an acute crisis. Wait until you are stable. Then you can focus on the long-term root-cause work.
It is also important to consider the time of year. Some conditions are seasonal. For example, mold-related illness may be worse in certain months. Starting care during a less severe period may make the process easier. Discuss timing with your provider. They can help you plan the best time to start.
Long-Term Outcomes
Functional medicine is a long-term process. Results are not immediate. It takes time to see improvements. You may see changes in energy levels, sleep, and digestion within a few months. It may take longer to see changes in chronic pain or autoimmune markers. Be patient. The process is iterative. The doctor will adjust the plan based on your response.
Key Takeaways
- Verify credentials using the FSMB Doctor Look-Up tool.
- Understand the membership model and what is included.
- Telemedicine is not a replacement for primary care.
- You must be in a licensed state to receive care.
- Functional medicine is a long-term process.
- Ask specific questions about the provider's approach.
- Be transparent about your health history.
- Do not expect quick fixes.
Frequently Asked Questions
Is Direct Integrative Care a primary care practice?
No, Direct Integrative Care is a consultative practice. It works alongside your primary care physician. It is not a replacement for primary care.
What states does Direct Integrative Care serve?
Direct Integrative Care serves clients in Texas, Iowa, Illinois, Missouri, Georgia, and Florida. You must be physically located in one of these states at the time of each consultation.
Do you perform physical exams?
No, all membership services are provided by secure video or telephone consultation. No physical examination, procedures, injections, infusions, imaging, or hands-on treatment are performed as part of membership.
How much does the membership cost?
Can I see the doctor in person?
There is an in-person presence at Hill Country Integrative Medicine in Fredericksburg, Texas. However, the primary model is telemedicine. In-person visits are not part of the standard membership for most clients.
What conditions do you treat?
The practice centers on root-cause medicine for complex conditions, including low-dose naltrexone therapy, autoimmune disease, chronic pain, fibromyalgia, chronic fatigue, mast cell activation syndrome, mold-related illness, and integrative oncology support.

