BENEDICT OLUSOLA MD PA
NPI 1396833125
Specialist in Desoto, TX

Q: What is Benedict Olusola MD PA's NPI number?

The NPI number for Benedict Olusola MD PA is 1396833125. It was assigned to this organization in the NPPES registry on October 10, 2006.

Q: What is Benedict Olusola MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 10, 2006

1700 N HAMPTON RD, STE 100, DESOTO, TX 75115(972) 228-3677(972) 228-3672 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Benedict Olusola Md Pa NPPES

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

BENEDICT OLUSOLA MD PA (NPI 1396833125) is a healthcare organization registered as a specialist in Desoto, Texas and active in the NPI registry since October 2006. The organization lists Marvella L Powell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396833125

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameBENEDICT OLUSOLA MD PA

Location Address1700 N HAMPTON RD, STE 100Desoto, TX 75115-2392

Mailing AddressPo Box 628Desoto, TX 75115-8302 · (972) 228-3677 · Fax (972) 228-3672

Phone(972) 228-3677

Fax(972) 228-3672

Organization SubpartNo

Authorized OfficialMarvella L PowellOffice Manager · (972) 228-3677

Enumeration DateOctober 10, 2006

Last NPPES UpdateSeptember 18, 2012

✔ NPI 1396833125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1700 N HAMPTON RD, Desoto, TX 75115

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Other Identifiers 1

Medicare PIN00804ZTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

BLB HEALTHCARE SERVICES INC

Home Health

1700 N HAMPTON RD, STE 104
DESOTO, TX 75115

Dallas County (972) 224-7555

TEARRA Y SALTER FNP

Nurse Practitioner (Family)

1700 N HAMPTON RD
DESOTO, TX 75115

Dallas County (972) 228-6602

BENEDICT O OLUSOLA MD

Family Medicine

1700 N HAMPTON RD, SUITE 100
DESOTO, TX 75115

Dallas County (972) 228-3677

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 MD PA's NPI number?

The NPI number for Benedict Olusola MD PA is 1396833125. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Benedict Olusola MD PA located?

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

What is Benedict Olusola MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Benedict Olusola MD PA was last updated on September 18, 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.