DR. ANDREW KAMAL BOULOS (NPI# 1922419407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922419407 |
| Entity Type | Individual |
| Full Name | DR. ANDREW KAMAL BOULOS |
| Credential | M.D. |
| Practice Address |
7601 Preston Rd Plano TX 75024-3214 |
| Practice Telephone | 4693037000 |
| Mailing Telephone | 4693037000 |
| Mailing Fax Number | 2568275067 |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME132963 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
S4733 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Sw Archer Rd, Box 100296, Gainesville, FL 326100296 | 3522739001 | 3522945247 |
| 1675 Trinity Dr, Pensacola, FL 325045708 | 8504167710 | 8504166729 |
| 5323 Harry Hines Blvd # Mc9063, Dallas, TX 75390 | 2145266784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013383165 | Andrew Boulos | Pharmacist | 421 Ryders Ln, East Brunswick, NJ 08816-2700 | 2015-08-12 |
| 1689010100 | Andrew Boulos | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 204, Colton, CA 92324-1801 | 2013-05-13 |
| Street Address |
7601 PRESTON RD |
| City | PLANO |
| State | TX |
| Zip Code | 75024-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598789984 | University of Texas Southwestern Medical Center At Dallas | Ophthalmology | 7601 Preston Rd, Plano, TX 75024 | 2006-07-27 |
| 1023665684 | Lanchasica Alexander | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2019-08-19 |
| 1043728389 | Jennifer Kieschnick | Physical Therapist | 7601 Preston Rd, Plano, TX 75024-3214 | 2018-01-22 |
| 1215448709 | Jasmine Ghannadpour | Psychologist | 7601 Preston Rd, Plano, TX 75024-3214 | 2017-10-24 |
| 1891236931 | Meredith Ulon | Social Worker | 7601 Preston Rd, Plano, TX 75024-3214 | 2017-03-08 |
| 1528514916 | Emily Holmes | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-08-26 |
| 1639522253 | Andrea Wahlberg | Clinical Neuropsychologist | 7601 Preston Rd, Suite P4300, Plano, TX 75024-3214 | 2016-07-19 |
| 1821441304 | Christine Ellis | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-07-19 |
| 1720440704 | Kayleigh Wiegers Mcbride | Pediatrics | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-03-28 |
| 1982065546 | Matthias Marvin Manuel | Emergency Medicine | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851360309 | Marvin Criddle Culbertson IIi | Pediatrics | 6200 W Parker Rd, Plano, TX 75093-7939 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285017343 | Leilani So Wiltz | Pediatrics | 3 Abbotsford Court, Dallas, TX 75225 | 2015-07-07 |
| 1598183840 | Brian Lonquich | Pediatrics | 2450 Holcombe Blvd Ste Nb-34l, Houston, TX 77021-2039 | 2014-04-03 |
| 1134278476 | Carla Magnolia Laos | Pediatrics | 6621 Fannin St Ste A.210, Texas Children's Hospital Bcm C/o Peggy Womack, Houston, TX 77030-2303 | 2007-01-09 |
| 1679653919 | Mark Ward | Pediatrics | 6621 Fannin St, Mc A1170, Houston, TX 77030-2303 | 2006-10-17 |
| 1124631437 | Kids Care Pllc | Pediatrics | 500 E Houston St, Beeville, TX 78102-4941 | 2020-08-26 |
| 1679935613 | Alecia Borkovich | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2016-03-28 |
| 1164819975 | Shelease O'bryant | Pediatrics | 6621 Fannin St, Houston, TX 77030-2358 | 2015-04-20 |
| 1972997500 | Alexander Henri | Pediatrics | 315 N San Saba Ste 1135, San Antonio, TX 78207 | 2015-03-20 |
| 1831506757 | Sheetal Khiyani | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2014-07-14 |
| 1386059087 | Asha Tharayil | Pediatrics | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-4637 | 2014-06-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.