DR. ANDREW KAMAL BOULOS M.D. NPI 1922419407

NPI Information

NPI: 1922419407
Provider Name: DR. ANDREW KAMAL BOULOS, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
7010 BROOKSHIRE DR
DALLAS, TX
ZIP 75230
Phone: (386) 562-8500
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DR. Andrew Kamal Boulos, M.D. is a pediatric emergency medicine pediatrics in Dallas, TX. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Andrew Kamal Boulos, M.D. NPI is 1922419407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7010 BROOKSHIRE DR
DALLAS, TX
ZIP 75230-249
Phone: (386) 562-8500
Fax: (256) 827-5067

The NPI 1922419407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2014 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	S4733	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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