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Larry Johnson
NPI 1093103491 · on the registry since 2015 · sole proprietor
Practice
- Address
- 600 Lake Air Dr
Suite 3a
Waco, TX 76710 - Phone
- (254) 224-6208
- Organisation at this address
- Pay A Ride
Central Texas Dme Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Private Vehicle
347C00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas