SOBA TEXAS LLC NPI 1336599182

NPI Information

  • NPI: 1336599182
  • Provider Name: SOBA TEXAS LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • :
  • CLIA Number: 45D2067229
  • Address: 1401 DEZARAE, LOT 4
    SAN ANTONIO, TX
    ZIP 78253
  • Phone: (210) 530-4167

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NPI Details

SOBA TEXAS LLC is a rehabilitation and substance use disorder clinic center in San Antonio, TX. SOBA TEXAS LLC NPI is 1336599182. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1401 DEZARAE, LOT 4
SAN ANTONIO, TX
ZIP 78253
Phone: (210) 530-4167

The provider's authorized official is Audrey Graham .
The authorized official title is Cfo and has the following contact phone number (310) 457-5250.

The CLIA number assigned to this NPI record is 45D2067229 - other - treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2016 and was last updated on 9/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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