Benedict O Olusola, MD

NPI #1376566125 in Desoto, Texas

Provider Information

NPI Number: 1376566125
Entity Type: Individual
Name: Benedict O Olusola, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 25, 2006
Last Updated: Oct 2, 2012

Practice Location

Address: 1700 N HAMPTON RD
Address 2: SUITE 100
City: Desoto
State: Texas
ZIP Code: 75115-2392
Phone: (972) 228-3677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary

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