Provider Demographics
NPI:1083408090
Name:SARAY, MATILDA
Entity type:Individual
Prefix:
First Name:MATILDA
Middle Name:
Last Name:SARAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 COLETO CREEK LOOP
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-4227
Mailing Address - Country:US
Mailing Address - Phone:512-696-2823
Mailing Address - Fax:
Practice Address - Street 1:2901 S CAPITAL OF TEXAS HWY # U02A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-8101
Practice Address - Country:US
Practice Address - Phone:512-696-2823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier