Individual
MR. BILLY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
4001 ROSS AVE APT 111, DALLAS, TX 75204-5252
(321) 217-9297
Mailing address
4001 ROSS AVE APT 111, DALLAS, TX 75204-5252
(321) 217-9297
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1992
TX
Other
Enumeration date
01/04/2020
Last updated
08/07/2025
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