Individual
BENJAMEN KYLE LOSOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
202 MORRIS ST, DESOTO, TX 75115-4930
(817) 573-3447
(817) 573-3616
Mailing address
202 MORRIS ST, DESOTO, TX 75115-4930
(817) 573-3447
(817) 573-3616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10959
TX
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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