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Individual
MR. ERIC BERNARD KASZYNSKI III
Active
Individual
MR. ERIC BERNARD KASZYNSKI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04760
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286556001
—
TX
01
—
75-2616977-042
TRICARE
TX
01
—
75-2616977-043
TRICARE
TX
01
—
858N26
BCBS
TX
01
—
8J4294
MEDICARE ID-TYPE UNSPECIFIED
TX
Enumeration date
01/05/2007
Last updated
09/26/2025
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