DR. Theodore Dake JR., M.D.
NPI #1073506234 in San Marcos, Texas
Provider Information
- NPI Number
- 1073506234
- Entity Type
- Individual
- Name
- DR. Theodore Dake JR., M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Aug 23, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 310 STAGECOACH TRL
- Address 2
- SUITE 300
- City
- San Marcos
- State
- Texas
- ZIP Code
- 78666-5134
- Phone
- (512) 392-3398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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