Individual
SEMYON GAMBARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6811 AUSTIN CENTER BLVD # 300, AUSTIN, TX 78731-3166
(512) 346-8888
(512) 344-0335
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1144
(512) 407-8686
(512) 421-4489
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L6388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158094601
—
TX
05
—
158094602
—
TX
05
—
158094604
—
TX
05
—
P00004603
—
TX
Enumeration date
07/29/2006
Last updated
05/20/2021
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