SearchTexas2255A2300X

Kevin Blasczienski

NPI 1225499304 · on the registry since 2016 · sole proprietor

Practice

Address
12737 Sweet Bay Dr
Euless, TX 76040
Phone
(716) 491-9193

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas