SOBA TEXAS LLC (NPI# 1336599182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336599182 |
| Entity Type | Organization |
| Organization Name | SOBA TEXAS LLC |
| Other Organization Name | SOBA RECOVERY CENTER |
| Practice Address |
1401 Dezarae, Lot 4 San Antonio TX 78253 |
| Mailing Address |
1401 Dezarae Lot 3 San Antonio TX 78253-5840 |
| Practice Telephone | 2108008370 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | CHRISTINE NOLAN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3104575250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
3748-3772 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Soba Recovery Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9411 Dugas Dr, Suite 102, San Antonio, TX 782451002 | 3104572730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831520360 | Soba Texas LLC | Substance Abuse Rehabilitation Facility | 1401 Dezarae Lot 3, San Antonio, TX 78253-5986 | 2013-12-10 |
| Street Address |
1401 DEZARAE, LOT 4 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1831796770 | Keesha Ann Green | Behavior Technician | 5522 Lone Star Pkwy Building #3 Suite 101, San Antonio, TX 78253 | 2020-10-05 |
| 1164044392 | H-e-b, Lp | Clinical Medical Laboratory | 14325 Potranco Rd, San Antonio, TX 78253 | 2020-05-11 |
| 1790318400 | Judith Poole | Massage Therapist | 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 | 2020-02-20 |
| 1780217976 | Tovar Dental, Pllc | Dentist | 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 | 2020-02-17 |
| 1104468263 | Diane-claire Villarreal | Behavior Technician | 522 Lonestar Parkway Suite 101, San Antonio, TX 78253 | 2019-10-10 |
| 1194374215 | Deren Robert Green | Counselor | 1401 Dezarae Lot #3, San Antonio, TX 78253 | 2019-09-11 |
| 1508425554 | Michael Lavaughn Nash | Physical Therapist | 11919 Culebra Road, Bldg. 1, Suite 101, San Antonio, TX 78253 | 2019-06-12 |
| 1548823263 | Bexar County Emergency Services District Number Two | Ambulance | 7045 Old Talley Rd., San Antonio, TX 78253 | 2019-04-18 |
| 1053879742 | Donnelle D Storrs | Nurse Practitioner | Soba Recovery Center Texas, 1401 Dezarae, San Antonio, TX 78253 | 2019-03-12 |
| Find all providers in zip 78253 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730742198 | Serenity Oaks, Pllc | Clinic/Center | 5368 Fredericksburg Rd Ste 100, San Antonio, TX 78229-6108 | 2019-04-20 |
| 1639636335 | Phoenix Houses of Texas, Inc | Clinic/Center | 1135 Mission Rd Bldg 2, San Antonio, TX 78210-4505 | 2019-02-28 |
| 1548784705 | Clayton & Blue Recovery | Clinic/Center | 7603 Caballo Cyn, San Antonio, TX 78244-3513 | 2017-07-31 |
| 1639491970 | Alpha Home Inc | Clinic/Center | 300 E Mulberry Ave, San Antonio, TX 78212-3023 | 2010-02-26 |
| 1114050010 | Preferred Family Healthcare | Clinic/Center | 306 S Flores St, San Antonio, TX 78204-1106 | 2007-03-13 |
| 1841768702 | Onto Treatment Center | Clinic/Center | 23103 Ih 10 W Ste 105, San Antonio, TX 78257-1689 | 2018-11-08 |
| 1700393972 | Nuhope Sa Recovery LLC | Clinic/Center | 19026 Ridgewood Pkwy Ste 311, San Antonio, TX 78259-5502 | 2018-01-09 |
| 1780031237 | Taj Management, LLC | Clinic/Center | 10730 Potranco Rd, Ste 122-242, San Antonio, TX 78251-3327 | 2016-05-14 |
| 1912382748 | The Best Option, Limited Liability Company | Clinic/Center | 3700 Fredericksburg Rd Ste 137, San Antonio, TX 78201-3268 | 2015-07-22 |
| 1942434725 | San Antonio Lifetime Recovery, Inc. | Clinic/Center | 10290 Southton Rd, San Antonio, TX 78223-4835 | 2009-05-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78253 |
Please comment or provide details below to improve the information on SOBA TEXAS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.