Provider Demographics
NPI:1659372084
Name:GASKILL, HAROLD VINCENT III (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:VINCENT
Last Name:GASKILL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10004 WURZBACH RD
Mailing Address - Street 2:#3
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2214
Mailing Address - Country:US
Mailing Address - Phone:210-490-8577
Mailing Address - Fax:210-490-2809
Practice Address - Street 1:540 OAK CENTRE DR
Practice Address - Street 2:SUITE 280
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3936
Practice Address - Country:US
Practice Address - Phone:210-490-8577
Practice Address - Fax:210-490-2809
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2009-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE8502208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC16014Medicare UPIN
TX8F6116Medicare PIN