Individual
DR. JACK EDWARD GASKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1215 RED RIVER ST, SUITE 448, AUSTIN, TX 78701-1921
(512) 479-3523
Mailing address
16809 WESTVIEW TRL, AUSTIN, TX 78737-9041
(512) 479-3523
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000T48L2
—
TX
Enumeration date
04/14/2006
Last updated
07/02/2010
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