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SOBA TEXAS LLC NPI 1831520360


NPI Information

NPI: 1831520360
Provider Name: SOBA TEXAS LLC

Doing Business As: SOBA RECOVERY CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1401 DEZARAE LOT 3
SAN ANTONIO, TX
ZIP 78253
Phone: (210) 530-4167
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SOBA TEXAS LLC is a substance abuse rehabilitation facility in San Antonio, TX. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SOBA TEXAS LLC NPI is 1831520360. The provider is registered as an organization entity type.
The provider Is Doing Business As Soba Recovery Center.

The provider's business location address is:

1401 DEZARAE LOT 3
SAN ANTONIO, TX
ZIP 78253-986
Phone: (210) 530-4167
Fax: (310) 919-0319

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 enumeration date for this NPI number is 12/10/2013 and was last updated on 3/28/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145D2067229OTHERTEXASCMS CLIA

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: 4/28/2024

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