Provider Demographics
NPI:1720272925
Name:HAROLD V GASKILL III MD PA
Entity Type:Organization
Organization Name:HAROLD V GASKILL III MD PA
Other - Org Name:HAROLD V GASKILL MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT /OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:V
Authorized Official - Last Name:GASKILL
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:210-325-6102
Mailing Address - Street 1:10004 WURZBACH RD
Mailing Address - Street 2:PMB 3
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2214
Mailing Address - Country:US
Mailing Address - Phone:210-325-6102
Mailing Address - Fax:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8502208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC16014Medicare UPIN
TX00Y133Medicare PIN