Individual provider · Type 1 NPI
Matthew Ryan Gaudern
Student in an Organized Health Care Education/Training Program · Conroe, TX
NPI number
1316894520
Active
Practice location
9955 Wing St
Conroe, TX 77385-2019
Mailing address
1900 Avenue I
Huntsville, TX 77340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1316894520
Matthew Ryan Gaudern's National Provider Identifier is 1316894520, issued on Mar 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conroe, TX. The record was last updated on Mar 16, 2026.