Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Theoktisto

Individual provider Infectious Disease Physician · NPI 1619358934

Mary Theoktisto is an Internal Medicine in Lakeway, Texas. Qualified in 2015, 11 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015

Practice location Address checks out

100 Medical Pkwy
Lakeway, TX 78738-5621
Phone: (512) 571-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence S3323 (TX)

Record details

NPI number1619358934
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations22 on file with Medicare

Other providers in Lakeway