MARY ALEXANDRA LANDRY PA-C
NPI 1609109552
Physician Assistant in Dallas, TX

Active since September 10, 2009PECOS Enrolled
8112 SPRING VALLEY RD, DALLAS, TX 75240(214) 884-1705(214) 884-1711 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Alexandra Landry Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ALEXANDRA LANDRY PA-C (NPI 1609109552) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA04319) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609109552
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY ALEXANDRA LANDRYCredential: PA-C
Location Address8112 SPRING VALLEY RDDallas, TX 75240-3829
Mailing Address300 E John Carpenter Fwy, Suite 850Irving, TX 75062-2727 · (972) 957-3000 · Fax (972) 957-3005
Fax(214) 884-1711
Sole ProprietorYes
Enumeration DateSeptember 10, 2009
Last NPPES UpdateJanuary 28, 2011
NPI 1609109552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA04319
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.
8112 SPRING VALLEY RD, Dallas, TX 75240

Other Identifiers 1

OtherPA04319TX · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Alexandra Landry Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
8112 SPRING VALLEY RD
DALLAS, TX 75240
Pediatrics
8112 SPRING VALLEY RD
DALLAS, TX 75240
Nurse Practitioner (Family)
8112 SPRING VALLEY RD
DALLAS, TX 75240
Physician Assistant (Medical)
8112 SPRING VALLEY RD
DALLAS, TX 75240
Nurse Practitioner (Family)
8112 SPRING VALLEY RD
DALLAS, TX 75240
Pharmacy (Clinic Pharmacy)
8112 SPRING VALLEY RD
DALLAS, TX 75240
Physician Assistant
8112 SPRING VALLEY RD
DALLAS, TX 75240
Physician Assistant (Medical)
8112 SPRING VALLEY RD
DALLAS, TX 75240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Landry's NPI number?

The NPI number for Mary Landry is 1609109552. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Mary Landry located?

Mary Landry practices at 8112 Spring Valley Rd, Dallas, TX 75240. The listed phone number is (214) 884-1705.

What is Mary Landry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Landry enrolled in Medicare?

Yes. Mary Landry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Landry was last updated on January 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.