Provider Demographics
NPI:1932415429
Name:TEJAS RECOVERY AND COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:TEJAS RECOVERY AND COUNSELING SERVICES, INC.
Other - Org Name:T.R.A.C.S
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:PETE
Authorized Official - Last Name:SOSA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, LCDC
Authorized Official - Phone:210-673-8111
Mailing Address - Street 1:7418 MILITARY DR W
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-2949
Mailing Address - Country:US
Mailing Address - Phone:210-673-8111
Mailing Address - Fax:210-673-9300
Practice Address - Street 1:7418 MILITARY DR W
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-2949
Practice Address - Country:US
Practice Address - Phone:210-673-8111
Practice Address - Fax:210-673-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone