MARY ALEXANDRA LANDRY


Address: 8112 Spring Valley Rd, Dallas, TX 75240-3829
Phone: 2148841705

MARY ALEXANDRA LANDRY (NPI# 1609109552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609109552
Entity Type Individual
Full Name MARY ALEXANDRA LANDRY
Credential PA-C
Practice Address 8112 Spring Valley Rd
Dallas
TX 75240-3829
Mailing Address 300 E John Carpenter Fwy
Suite 850
Irving
TX 75062-2727
Practice Telephone 2148841705
Practice Fax Number 2148841711
Mailing Telephone 9729573000
Mailing Fax Number 9729573005
Enumeration Date 2009-09-10
Last Update Date 2011-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA04319 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICAL LICENSE PA04319 01

Other Providers MARY LANDRY

NPI Name Taxonomy Address Enumeration
1942506126 Mary Landry Speech-Language Pathologist 14 Snowden Ave, Delmar, NY 12054-1416 2011-02-04
1306925599 Mary O. Landry Speech-Language Pathologist 220 S Jefferson St, Abbeville, LA 70510-5906 2006-11-06
1750357760 Mary S Landry Obstetrics & Gynecology 451 Junction Rd, Uw Health, Madison, WI 53717 2006-02-28

Office Location

Street Address 8112 SPRING VALLEY RD
City DALLAS
State TX
Zip Code 75240-3829

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598712655 Annette Albano Nurse Practitioner 8112 Spring Valley Rd, Dallas, TX 75240-3829 2006-05-27
1285108837 Osasimwinogboie Kelvin Ogbeiwi Nurse Practitioner 8112 Spring Valley Rd, Dallas, TX 75240-3829 2019-01-17
1356832992 Jonathan James Oppong Amoakohene General Practice 8112 Spring Valley Rd, Dallas, TX 75240-3829 2018-05-18
1982146056 Gabriela Pina Physician Assistant 8112 Spring Valley Rd, Dallas, TX 75240-3829 2016-11-07
1851755599 Sadia Khan Physician Assistant 8112 Spring Valley Rd, Dallas, TX 75240-3829 2016-04-08
1467840405 Carlos A Hernandez Physician Assistant 8112 Spring Valley Rd, Dallas, TX 75240-3829 2014-12-29
1306264932 Puja Manchira Natesan Family Medicine 8112 Spring Valley Rd, Dallas, TX 75240-3829 2014-04-01
1780936674 Familia Care Inc Pharmacy 8112 Spring Valley Rd, Dallas, TX 75240-3829 2012-10-03
1043591779 Andrea Hudson Nurse Practitioner 8112 Spring Valley Rd, Dallas, TX 75240 2011-09-08
1265663074 Maria Lizette Ruiz Harris Pediatrics 8112 Spring Valley Rd, Dallas, TX 75240-3829 2009-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104469824 Amber Christine Wrye Counselor 5433 Alpha Rd, Dallas, TX 75240 2019-10-25
1134610934 Kristen Cairns Counselor 13140 Coit Rd # 328, Dallas, TX 75240 2018-05-29
1255821435 Axiom Health Services, LLC Specialist/Technologist, Other 5422 Alpha Rd, Dallas, TX 75240 2018-05-14
1114438991 Donald R Missel Nurse Anesthetist, Certified Registered 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 2017-10-19
1689119307 Ginger Lee Hagood Counselor 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 2017-01-04
1831565712 Stella I Clark Nurse's Aide 7373 Valley View Ln #2065, Dallas, TX 75240 2015-08-14
1790163608 Shana Lynn Gangi Social Worker 13601 Preston Rd Ste W970, Dallas, TX 75240 2015-05-12
1134527096 Jahvel Thompson Physician Assistant 8112 W. Spring Valley Rd., Dallas, TX 75240 2014-12-09
1295137396 Rineil Francis Perez Pharmacist 13131 Monfort Dr, Dallas, TX 75240 2014-09-19
1255731311 Arturo Ojeda Counselor 13140 Coit Rd Ste 326, Dallas, TX 75240 2014-08-26
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700440 Heather Weir Physician Assistant 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 2020-11-03
1225643562 Yermiahu Levi Sarne Physician Assistant 6206 Preston Crest Ln, Dallas, TX 75230-1828 2020-09-14
1255945564 Amanda Michelle Flores Physician Assistant 1801 Young St, Dallas, TX 75201 2020-09-03
1275151102 Kelly Ashworth Physician Assistant 7331 Gaston Ave # 180, Dallas, TX 75214-4131 2020-07-07
1780201715 Gabriela Yvonne Camacho Physician Assistant 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 2020-06-25
1346879699 Ws Neuroassist, Pllc Physician Assistant 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 2020-04-07
1265065122 Sarah Bell Stewart Physician Assistant 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 2020-02-19
1093348237 Meagan Lee Barry Physician Assistant 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 2020-02-17
1245863554 Melissa Ann Johnston Physician Assistant 4373 Boca Bay Dr, Dallas, TX 75244-7408 2020-02-14
1205479607 Mj Surgical, Pllc Physician Assistant 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 2019-10-18
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Competitor

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City DALLAS
Zip Code 75240

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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