Larry Johnson SR. is a Private Vehicle based in Waco, TX. Larry Johnson SR. practices in Waco, TX. The NPI Number for Larry Johnson SR. is 1093103491 and holds a License No. 36634675 (Texas).
The current practice location address for Larry Johnson SR. is 600 Lake Air Dr, Waco, TX and can be reached out via phone at 254-224-6208.
Location: 600 Lake Air Dr, Waco, TX, 76710-5887
Provider Profile Details
NPI Number
1093103491
Provider Name
Larry Johnson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 Lake Air Dr, Waco, TX, 76710-5887
Phone Number
254-224-6208
Fax Number
Provider Enumeration Date
01/07/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
600 Lake Air Dr
City
State
Zip
76710-5887
Phone Number
254-224-6208
Fax Number
Provider Business Mailing Address Details
Address
600 Lake Air Dr
City
State
Zip
76710-5887
Phone Number
254-224-6208
Fax Number
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
36634675 (Texas)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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