Mary Elizabeth Outlaw, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00715 Issued in TX

Practice address

3000 Herring Ave
Waco, TX 76708-3239

Phone

(214) 712-2000

Fax

(214) 712-2487

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emcare-Dtxemergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1285709600

  Physician Assistant

  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Corsicana, TX
  • NPI 1124065735
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1942253083
  NPD (past)
• Texas Emergency Rooms Services, PA

  • Emergency Medicine Physician
  • Corsicana, TX
  • NPI 1669410619
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649320631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST",
            "address_2": "SUITE 5200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014612",
            "telephone_number": "214-712-2000",
            "fax_number": "214-712-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HERRING AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083239",
            "telephone_number": "214-712-2000",
            "fax_number": "214-712-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Cannon Osborne, PSY. D.
• Rebecca Jane Osborne, AA
• Jarret Oshields
• Andi Katelyn Otto, COTA
• Yan Ou, PHARMD
• Outreach Health Services of North Texas LLC
• Linda Owen, LPC, LCDC, NCC
• Sommer Rainwater Owens, MS, RD, LD
• Elizabeth A Owolabi
• Sowmya Padakanti

• Physician Assistant in Waco, TX
• Providers in Waco, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.