Organization
KINEMATICS AND PROSTHETICS REHABILITATION INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY GORDON LP, CP (PROSTHETIST)
(321) 217-9297
Entity
Organization
Contact information
Practice address
8035 E RL THRTN FWY STE 324, DALLAS, TX 75228-7072
(321) 217-9297
Mailing address
4714 COYOTE TRL, DALLAS, TX 75227-2821
(321) 217-9297
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
12/16/2025
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