MARY THEOKTISTO

LAKEWAY, TX
NPI1619358934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: TX  S3323)
Enumeration Date2015-06-11
Last Update Date2020-08-20
Business Address
MARY THEOKTISTO
100 MEDICAL PKWY
LAKEWAY, TX 78738-5621
Phone number: 512-571-5000
Mailing Address
MARY THEOKTISTO
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-8800
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