NPI 1053950303

Billy Gordon, LP

Practitioner Prosthetist Dallas, TX

Practice location

Address: 4001 Ross Ave APT 111, Dallas, TX 75204-5252
Phone: (321) 217-9297

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1992 (TX)

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Registry record

NPI: 1053950303
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2020
Record last updated: 7 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.