Benedict Olusola MD PA
NPI #1396833125 in Desoto, Texas
Provider Information
- NPI Number
- 1396833125
- Entity Type
- Organization
- Organization Name
- Benedict Olusola MD PA
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Sep 18, 2012
Practice Location
Authorized Official
- Name
- MARVELLA L POWELL, MBA
- Title
- OFFICE MANAGER
- Phone
- (972) 228-3677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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