Matthew Tyler Canik
Matthew Tyler Canik is a Student in an Organized Health Care Education/Training Program in Austin, Texas. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4308 Ganymede DrAustin, TX 78727-5106
Phone: (512) 912-6766
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1619508918 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 27, 2020 |
| Last updated in NPPES | January 27, 2020 |
| Certification date | January 27, 2020 |
| Mailing address | 4308 Ganymede Dr, Austin, TX 78727-5106 |
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