Provider Demographics
NPI:1124534417
Name:BACZINSKAS, KAZIMIERAS (DC)
Entity Type:Individual
Prefix:DR
First Name:KAZIMIERAS
Middle Name:
Last Name:BACZINSKAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S BELL BLVD STE 15
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3836
Mailing Address - Country:US
Mailing Address - Phone:512-699-5444
Mailing Address - Fax:
Practice Address - Street 1:600 S BELL BLVD STE 15
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3836
Practice Address - Country:US
Practice Address - Phone:512-699-5444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-21
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty