Organization
SOLARA BEHAVIORAL HEALTH SAN ANTONIO, LLP
Active
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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