Mr. Billy Gordon
Prosthetist
4001 Ross Ave Apt 111
Dallas
, Texas 75204-5252
Mr. Billy Gordon
Prosthetist
4001 Ross Ave Apt 111
Dallas
, Texas 75204-5252
(321) 217-9297
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Billy Gordon
- 4001 Ross Ave Apt 111
- Dallas, TX
- Zip : 75204-5252
- Phone : (321) 217-9297
Second Address
- Mr. Billy Gordon
- 4001 Ross Ave Apt 111
- Dallas, TX
- Zip : 75204-5252
- Phone : (321) 217-9297
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 1992 | TX |
National Provider Identifier
| NPI | 1053950303 |
|---|---|
| Provider Name | Mr. Billy Gordon |
| First Address | Dallas, TX 75204-5252 |
| Second Address | Dallas, TX 75204-5252 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2020 |
| Last Update Date | 04/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.