Individual provider · Type 1 NPI

Basilio Ruiz

Student in an Organized Health Care Education/Training Program · Oklahoma City, OK

NPI number 1104720168 Active

Practice location

921 NE 13th St
Oklahoma City, OK 73104-5007

Call (405) 456-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X228435 (OK)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104720168

Basilio Ruiz's National Provider Identifier is 1104720168, issued on Oct 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 16, 2026.