MEDICARE: HAROLD VINCENT GASKILL III MD

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	208600000X	Surgery Physician	E8502	TX

General Provider Information

NPI Number	:	1659372084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROLD VINCENT GASKILL III MD

Provider Business Mailing Address
First Line	:	10004 WURZBACH RD
Second Line	:	#3
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-2214
Country	:	US
Telephone Number	:	210-490-8577
Fax Number	:	210-490-2809

Provider Business Practice Location Address
First Line	:	540 OAK CENTRE DR
Second Line	:	SUITE 280
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3936
Country	:	US
Telephone Number	:	210-490-8577
Fax Number	:	210-490-2809

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	05/03/2009

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