IndividualActive
Andrew Boulos, M.D.
NPI 1922419407 · Pediatric Emergency Medicine (Pediatrics) Physician · Prosper, TX
Provider details
- NPI number
- 1922419407
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- S4733 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4100 W University Dr
Prosper, TX 75078-3123
Phone: (945) 204-4100
Fax: (682) 885-1903
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 733784
Dallas, TX 75373-3784
Registry dates
- Enumerated
- 2014-05-18
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.