Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Johnson Sr.

Individual provider Private Vehicle · NPI 1093103491

Larry Johnson Sr. is a Private Vehicle in Waco, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015

Practice location Address checks out

600 Lake Air Dr Ste 3A
Waco, TX 76710-5887
Phone: (254) 224-6208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X · Licence 36634675 (TX)

Record details

NPI number1093103491
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 7, 2015
Last updated in NPPESJanuary 7, 2015