Healthcare Provider Details

I. General information

NPI: 1639162712
Provider Name (Legal Business Name): GLENN ROBERT MCASKILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401A E PINECREST DR
MARSHALL TX
75670-7207
US

IV. Provider business mailing address

PO BOX 1315
MARSHALL TX
75671-1315
US

V. Phone/Fax

Practice location:
  • Phone: 903-212-3280
  • Fax: 903-212-3265
Mailing address:
  • Phone: 903-212-3280
  • Fax: 903-212-3265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberJ4334
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberJ4334
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberJ4334
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: