Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY JOHNSON SR.
Active Sole ProprietorLARRY JOHNSON SR. is a Private Vehicle healthcare provider located in WACO, Texas. NPI 1093103491 is currently active in the NPPES registry. Verify at CMS.
Private Vehicle · WACO, TX
Registration Details
- NPI Number
- 1093103491
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2015 (11.632542536082 yrs)
- Last Updated
- Jan 7, 2015
- License
-
36634675 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 LAKE AIR DRSUITE 3AWACO, TX, 767105887Browse TX providers · Browse ZIP 76710
- Phone
- 2542246208
- Primary Specialty
-
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.