Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Soba Texas LLC

Organization Addiction Psychiatry Physician · NPI 1336599182

Soba Texas LLC is an Addiction Psychiatry Physician in San Antonio, Texas. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 Dezarae Lot 4
San Antonio, TX 78253
Phone: (210) 530-4167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Addiction Psychiatry Physician Taxonomy 2084P0802X

Record details

NPI number1336599182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey Graham — Cfo · (310) 457-5250
Other names Soba Recovery Center
NPI enumeratedJune 13, 2016
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address1401 Dezarae, Lot 3, San Antonio, TX 78253-5840

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