Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Billy Gordon, LP

Individual provider Prosthetist · NPI 1053950303

Mr. Billy Gordon, LP is a Prosthetist in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
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Practice location Address checks out

4001 Ross Ave Apt 111
Dallas, TX 75204-5252
Phone: (321) 217-9297
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Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence 1992 (TX)

Record details

NPI number1053950303
Entity typeIndividual (Type 1)
GenderMale
Credentials LP
Sole proprietorYes
NPI enumeratedJanuary 4, 2020
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address4001 Ross Ave Apt 111, Dallas, TX 75204-5252

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