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Active NPI 1073506234 Individual Practitioner Male Practitioner

Dr. Theodore Dake , MD

Specialist • San Marcos, TX

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Dake, MD is a registered healthcare professional specializing in Specialist in San Marcos, TX. Practice services are available at 310 STAGECOACH TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 Stagecoach Trl
Suite 300

San Marcos, TX 786665134

Telephone 5123923398
Fax 5123922890
Associated Practice Facility / Clinic
🏢 T A Castoldi & Associates Facility NPI 1366752453

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in San Marcos, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
6 Specialists

Practicing in San Marcos, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX E9594

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
8M0870 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Thea Dake , LCSW

Social Worker - Clinical

NPI 1326031592

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 310 STAGECOACH TRL, SUITE 300, SAN MARCOS, TX 786665134 (Tel: 5123923398)

📍
Updated Business Mailing Address July 08, 2007

Registered at 310 STAGECOACH TRL, SUITE 300, SAN MARCOS, TX 786665134 (Tel: 5123923398)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE DAKE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #E9594 in TX)

🟢
Initial NPI Registration & Enumeration August 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073506234
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

310 Stagecoach Trl, Suite 300

San Marcos, TX 786665134

Phone: 5123923398

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.