Individual
PROF. JILL P RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5125 TEXOMA MEDICAL CENTER DR STE 100, DENISON, TX 75020-0084
(903) 868-4700
(903) 892-4910
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
N6349
TX
390200000X
Student in an Organized Health Care Education/Training Program
0116018121
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200311330A
OKAHOMA MEDICAID
OK
05
—
214144201
—
TX
05
—
214144202
—
TX
01
—
P00942262
MEDICARE RAILROAD
TX
Enumeration date
05/22/2007
Last updated
07/10/2025
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