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
Mailing address600 Lake Air Dr, Suite 3a, Waco, TX 76710-5887