Soba Texas Llc is a Addiction Psychiatry Clinic in San Antonio, Texas. It is located at 1401 Dezarae Lot 3, San Antonio, TX and its contact number is 210-530-4167. The authorized person for Soba Texas Llc is Mrs. Audrey Graham
who is Cfo of the clinic and his/her contact number is 310-457-5250. Soba Texas Llc Clinic 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 psychiatric disorders.
Complete Clinic Profile:
Soba Texas Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Soba Texas Llc
Specialization:
Addiction Psychiatry
Clinic Address:
1401 Dezarae Lot 3, San Antonio, Texas, 78253-5986
Phone:
210-530-4167
Fax:
310-919-0319
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Audrey Graham
Position:
Cfo
Contact Number:
310-457-5250
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Soba Texas Llc clinic are as mentioned below.
NPI Number:
1831520360
NPI Enumeration Date:
10 Dec, 2013
NPI Last Update On:
16 Sep, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Soba Texas Llc are as mentioned below.
Specialization
License Number
State
Status
Substance Abuse Rehabilitation Facility
Primary
Addiction Psychiatry
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
45D2067229
Other
Texas
Cms Clia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Soba Texas Llc 1401 Dezarae Lot 3, San Antonio, Texas
Zip:
78253-5986
Phone Number:
310-457-2730
Fax Number:
310-919-0319
Patients can reach Soba Texas Llc at 1401 Dezarae Lot 3, San Antonio, Texas or can call to book an appointment on 210-530-4167. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.