Healthcare Provider Details

I. General information

NPI: 1356353783
Provider Name (Legal Business Name): MARSHALL ANESTHESIA SERVICES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 S WASHINGTON AVE
MARSHALL TX
75670-5336
US

IV. Provider business mailing address

811 S WASHINGTON AVE
MARSHALL TX
75670-5336
US

V. Phone/Fax

Practice location:
  • Phone: 903-927-6770
  • Fax: 903-927-6377
Mailing address:
  • Phone: 903-927-6770
  • Fax: 903-927-6377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateTX

VIII. Authorized Official

Name: DR. GLENN MCASKILL
Title or Position: PRESIDENT
Credential: MD
Phone: 903-927-6700