BENEDICT O OLUSOLA MD
NPI 1376566125
Family Medicine in Desoto, TX

Active since July 25, 2006
1700 N HAMPTON RD, SUITE 100, DESOTO, TX 75115(972) 228-3677(972) 228-3672 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benedict O Olusola Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENEDICT O OLUSOLA MD (NPI 1376566125) is an individual family medicine provider in Desoto, Texas, licensed in Texas (J7118) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1376566125
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENEDICT O OLUSOLACredential: MD
Location Address1700 N HAMPTON RD, SUITE 100Desoto, TX 75115-2392
Mailing AddressPo Box 628Desoto, TX 75123-0628 · (972) 228-3677 · Fax (972) 228-3672
Fax(972) 228-3672
Sole ProprietorYes
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 2, 2012
NPI 1376566125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J7118
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 is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License J7118 (TX)
1700 N HAMPTON RD, Desoto, TX 75115

Other Identifiers 7

Medicaid139957825TX
Medicare PIN00U20ATX
Medicare PIN00414FTX
Medicare PIN613080TX
Medicare UPINF29481
Other0032QRTX · Bcbs
Medicare PIN8F1717TX

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1700 N HAMPTON RD, STE 104
DESOTO, TX 75115
Nurse Practitioner (Family)
1700 N HAMPTON RD
DESOTO, TX 75115
Specialist
1700 N HAMPTON RD, STE 100
DESOTO, TX 75115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benedict Olusola's NPI number?

The NPI number for Benedict Olusola is 1376566125. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Benedict Olusola located?

Benedict Olusola practices at 1700 N Hampton Rd Suite 100, Desoto, TX 75115. The listed phone number is (972) 228-3677.

What is Benedict Olusola's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Benedict Olusola was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.