MEDICARE: STINGRAY VENTURE GROUP PLLC

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1669329900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STINGRAY VENTURE GROUP PLLC

Provider Business Mailing Address
First Line	:	12922 POTRANCO RD STE 142
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-7885
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12922 POTRANCO RD STE 142
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-7885
Country	:	US
Telephone Number	:	678-720-6550
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANDREW RAY
Credential	:	DDS
Telephone Number	:	678-720-6550

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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