Benedict O Olusola in Desoto - Family Medicine
Benedict O Olusola - NPI 1376566125
Benedict O Olusola is a Family Medicine in Desoto, Texas. Benedict O Olusola practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Benedict O Olusola is 1376566125. The last update date is 2012-10-02.
Benedict O Olusola's current location address is Po Box 628, Desoto, Texas. You can contact this provider via phone number 9722283677 and fax number 9722283672. The mailing address for Benedict O Olusola is Po Box 628, Desoto, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benedict O Olusola |
|---|---|
| Address | Po Box 628, Desoto, Texas |
| Phone Number | 9722283677 |
| Fax Number | 9722283672 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376566125 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2012-10-02 |
Provider Mailing Address Detail
| Address | Po Box 628 |
|---|---|
| City | Desoto |
| State | Texas (TX) |
| Post Code | 751230628 |
| Phone Number | 9722283677 |
| Fax Number | 9722283672 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | J7118 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 139957825 | TX | -- | |
| 0032QR | TX | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Benedict O Olusola?
The Benedict O Olusola has been issued the NPI (National Provider Identifier) 1376566125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Benedict O Olusola is physically located?
The Benedict O Olusola is physically situated at the following address: Po Box 628, Desoto, TX, 751230628.
What is the Benedict O Olusola's area of specialization and corresponding taxonomy classification?
The Benedict O Olusola's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1376566125 assigned to Benedict O Olusola?
The Benedict O Olusola was issued its 1376566125 on 2006-07-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Benedict O Olusola last refreshed?
The information related to the Benedict O Olusola, including its address, specialty, and other relevant details, was last updated on 2012-10-02.
NPI Number: 1447253448
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