MEDICARE: SATORIA RAY BSN, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	1105967	TX

General Provider Information

NPI Number	:	1407781792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATORIA RAY BSN, RN

Provider Business Mailing Address
First Line	:	1581 WALLIN BRADLEY DR UNIT 3304
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-2778
Country	:	US
Telephone Number	:	737-932-9020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1581 WALLIN BRADLEY DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-2406
Country	:	US
Telephone Number	:	737-932-9020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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