Healthcare Provider Details

I. General information

NPI: 1407781792
Provider Name (Legal Business Name): SATORIA RAY BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1581 WALLIN BRADLEY DR
ROUND ROCK TX
78665-2406
US

IV. Provider business mailing address

1581 WALLIN BRADLEY DR UNIT 3304
ROUND ROCK TX
78665-2778
US

V. Phone/Fax

Practice location:
  • Phone: 737-932-9020
  • Fax:
Mailing address:
  • Phone: 737-932-9020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number1105967
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: