Provider Demographics
NPI:1437428380
Name:GAMBLE, DAVID PAUL (PHARM D)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:PAUL
Last Name:GAMBLE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3920 GARTH RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3106
Mailing Address - Country:US
Mailing Address - Phone:281-420-5529
Mailing Address - Fax:
Practice Address - Street 1:3920 GARTH RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3106
Practice Address - Country:US
Practice Address - Phone:281-420-5529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45830183500000X
COPHA-18004183500000X
ILIL-051-292793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist