P Praxis·MD
● Active Type 1 · Individual

DR. Andrew Kamal Boulos, M.D.

Pediatrics·Prosper, TX· NPI 1922419407 · Enumerated 2014 · 12 years on NPI
Boulos is 1 of 6 pediatrics providers in Prosper and 1 of 223 in Texas.
NPI age
12 years
Enumerated 2014-05-18
Primary specialty
Pediatrics
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 223 active pediatrics providers in Texas.

NPI age
12 years
↓ 4 yr below median (16 yr)
State licenses
1 state
39% of peers hold multiple states
Subspecialties
0
75% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Practice location
4100 W University Dr
Prosper, TX 750783123
📞 9452044100fax 6828851903
Mailing address
Po Box 733784
Dallas, TX 753733784
📞 6828856483fax 6828853113

Specialties

  • Pediatrics Primary
    A pediatrician who has special qualifications to manage emergencies in infants and children.
    TX license #S4733 taxonomy 2080P0204X

Practice context

Part of a multi-provider practice. 32 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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