Theresa Mata-Pistokache, Ph.D.
Speech-Language Pathologist, in Weslaco, TX. Individual provider (NPI-1).
NPI number1396129003
StatusActive
Last updated in NPPESJul 13, 2015
Details
- NPI
- 1396129003
- Entity type
- Individual (NPI-1)
- Name
- Theresa Mata-Pistokache
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2015
- Last updated
- Jul 13, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 106747 | TX | Yes |
Practice location
709 Angelita DrWeslaco, TX 78599-5281
Phone 956-854-4325 · Fax 956-854-4338
Mailing address
305 Ne Loop 820Business Tower 1, Suite 200
Hurst, TX 76053-7209
Phone 817-292-8787 · Fax 817-789-6849
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Speech-Language Pathologist providers in Weslaco, TX
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- Lupita Vanessa ClementeNPI 1104554724
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All 71 Speech-Language Pathologist providers in Weslaco · All 1,282 providers in Weslaco
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