P Praxis·MD
● Active Type 1 · Individual

DR. Atoosa Kourosh, MD

Pediatrics·Southlake, TX· NPI 1053401661 · Enumerated 2006 · 19 years on NPI
Kourosh is 1 of 1 pediatrics providers in Southlake and 1 of 36 in Texas.
NPI age
19 years
Enumerated 2006-10-13
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 36 active pediatrics providers in Texas.

NPI age
19 years
↑ 1 yr above median (17 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
2
In the 58% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
1170 N Carroll Ave
Southlake, TX 760925306
📞 2147026550fax 2148944182
Mailing address
1170 N Carroll Ave
Southlake, TX 760925306
📞 2147026550fax 2148944182

Additional practice locations

1 secondary location on file with NPPES.

Location 2
5600 14th Ave Nw
Seattle, WA 981073723
📞 2069190175fax 2065679797

Specialties

  • Pediatrics Primary
    A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
    WA license #MD00044424 taxonomy 2080P0201X
  • Allergy & Immunology
    An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
    WA license #MD00044424 taxonomy 207K00000X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    WA license #MD00044424 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (WA) P01733874 RR MEDICARE WVH

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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