MEDICARE: DR. HAILEY BATTERTON GASKAMP DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	W0911	TX

General Provider Information

NPI Number	:	1518545730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAILEY BATTERTON GASKAMP DO

Provider Business Mailing Address
First Line	:	14100 SAN PEDRO AVE STE 200
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-4362
Country	:	US
Telephone Number	:	210-653-5501
Fax Number	:	210-650-5993

Provider Business Practice Location Address
First Line	:	430 W SUNSET RD STE 202
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-1772
Country	:	US
Telephone Number	:	210-653-5501
Fax Number	:	210-963-8138

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2021
Last Update Date	:	04/14/2026

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