Organization
DESOTO FAMILY CARE & SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENEDICT OLUSOLA M.D. (OWNER)
(214) 356-1793
Entity
Organization
Contact information
Practice address
819 W. PLEASANT RUN RD, DESOTO, TX 75115-2821
(214) 356-1793
(972) 228-2382
Mailing address
819 W. PLEASANT RUN RD, DESOTO, TX 75115-2821
(214) 356-1793
(972) 228-2382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
03/14/2018
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