NPI age
12 years
Enumerated 2013-12-10
● Active Type 2 · Organization
Soba Texas Llc
Soba Texas Llc is 1 of 287 substance abuse rehabilitation facility organizations in Texas.
Primary specialty
Substance Abuse Rehabilitation Facility
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Graham
Cfo
Last NPPES update
2025-09-16
Source: monthly bulk 2026-05
How this organization compares
Across 287 active substance abuse rehabilitation facility providers in Texas.
NPI age
12 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-12Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1401 Dezarae Lot 3
San Antonio, TX 782535986
Mailing address
1401 Dezarae Lot 3
San Antonio, TX 782535986
Authorized official
Audrey Graham
Cfo
📞 3104575250
Specialties
-
Substance Abuse Rehabilitation Facility PrimaryA 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.
-
Psychiatry & NeurologyAddiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 45D2067229 | CMS CLIA |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Soba Recovery Center
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.