OrganizationActive
Soba Texas LLC
NPI 1336599182 · Substance Use Disorder Rehabilitation Clinic/Center · San Antonio, TX
Provider details
- NPI number
- 1336599182
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Audrey Graham, Cfo(310) 457-5250
Specialties & taxonomies
Ambulatory Health Care Facilities
- Addiction Psychiatry Physician2084P0802X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1401 Dezarae, Lot 4
San Antonio, TX 78253
Phone: (210) 530-4167
Street-level locationGet directions
Mailing address
1401 Dezarae
San Antonio, TX 78253-5840
Other names (DBA / former)
- Doing business as
- Soba Recovery Center
Registry dates
- Enumerated
- 2016-06-13
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.