NPI 1700760220

Ricardo Jose Fernandez

Practitioner Driver Owasso, OK

Practice location

Address: 8748 N Mingo Rd APT 1705, Owasso, OK 74055-5082
Phone: (321) 900-6815

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence Z299751689 (OK)

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Registry record

NPI: 1700760220
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2025
Record last updated: 5 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.