Most Relevant Information
Provider Data
| NPI Number: | 1003339649 |
| Provider Name: | SALLY MATIKA PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 208200000X |
| Specialty: | Plastic Surgery |
| License Number: | PA11398 |
Most Important Dates
| Enumeration Date: | 07/25/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
6818 AUSTIN CENTER BLVD STE 204
AUSTIN
TX
787313100
Practice Location Phone/Fax
| Phone: | 5128676211 |
| Fax: |
Provider Mailing Location
6818 AUSTIN CENTER BLVD STE 204
AUSTIN
TX
787313100
Provider Mailing Phone/Fax
| Phone: | 5128676211 |
| Fax: |