Basilio Ruiz
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1104720168
StatusActive
Last updated in NPPESOct 16, 2026
Details
- NPI
- 1104720168
- Entity type
- Individual (NPI-1)
- Name
- Basilio Ruiz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2026
- Certification date
- Oct 16, 2026
- Last updated
- Oct 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 228435 | OK |
Practice location
921 Ne 13th StOklahoma City, OK 73104-5007
Phone 405-456-1000
Mailing address
921 Ne 13th StOklahoma City, OK 73104-5007
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 815 Student in an Organized Health Care Education/Training Program providers in Oklahoma City · All 27,799 providers in Oklahoma City
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