National Provider Identifier Database

BILLY GORDON, LP – NPI #1053950303
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

BILLY GORDON, LP
4001 ROSS AVE APT 111
DALLAS, TX75204-5252
Phone: 321-217-9297
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for BILLY GORDON

NPI Number 1053950303
Credentials LP
Entity Individual
Enumeration date 01/04/2020
Last updated 08/07/2025 - About 10 months ago
Sole proprietor1 Yes
Identifiers
  • TX License #: 1992
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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