Provider Demographics
NPI:1376838094
Name:RAY, SARAH (ACNS BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:ACNS BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 E 32ND ST
Mailing Address - Street 2:SUITE 508
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2707
Mailing Address - Country:US
Mailing Address - Phone:512-480-3147
Mailing Address - Fax:512-480-3153
Practice Address - Street 1:1015 E 32ND ST
Practice Address - Street 2:SUITE 508
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2707
Practice Address - Country:US
Practice Address - Phone:512-480-3147
Practice Address - Fax:512-480-3153
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX663305364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health