Larry Johnson Sr.

Private Vehicle · Waco, TX

Individual Active NPI

NPI number 1093103491

Practice location

600 Lake Air Dr
Suite 3a
Waco, TX 76710-5887
Phone
(254) 224-6208

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NPI record

NPI
1093103491
Entity type
Individual (Type 1)
Enumeration date
January 7, 2015
Last updated
January 7, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Private Vehicle Primary 347C00000X 36634675 TX

About Larry Johnson

Larry Johnson Sr. is a healthcare provider registered in the NPI registry with the primary taxonomy Private Vehicle (code 347C00000X). The practice location is 600 Lake Air Dr, Suite 3a, Waco, TX 76710-5887. The NPI number 1093103491 was assigned on January 7, 2015 and the record was last updated on January 7, 2015.

Larry Johnson lists a license in the registry: #36634675 (TX) for Private Vehicle. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry Johnson Sr.?

The NPI number is 1093103491.

What is the phone number of Larry Johnson?

The phone number listed for the practice location is (254) 224-6208.

Where is Larry Johnson located?

600 Lake Air Dr, Suite 3a, Waco, TX 76710-5887.

What is the taxonomy code for Larry Johnson?

The primary taxonomy code is 347C00000X – Private Vehicle.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.