Organization
SOLARA BEHAVIORAL HEALTH SAN ANTONIO, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN DANIEL INGRAM (MANAGER)
(281) 914-1012
Entity
Organization
Contact information
Practice address
1975 BABCOCK RD, SUITE 140, SAN ANTONIO, TX 78229-4585
(281) 914-1012
(682) 831-9625
Mailing address
1975 BABCOCK RD, SUITE 140, SAN ANTONIO, TX 78229-4585
(281) 914-1012
(682) 831-9625
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182967301
—
TX
Enumeration date
05/25/2006
Last updated
09/26/2012
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