Individual provider · Type 1 NPI

Matthew Tyler Canik

Student in an Organized Health Care Education/Training Program · Austin, TX

NPI number 1619508918 Active

Practice location

4308 Ganymede Dr
Austin, TX 78727-5106

Call (512) 912-6766 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1619508918

Matthew Tyler Canik's National Provider Identifier is 1619508918, issued on Jan 27, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Austin, TX. The record was last updated on Jan 27, 2020.