Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093103491 Individual Practitioner Male Practitioner

Larry Johnson

Private Vehicle • Waco, TX

Professional Overview & Biography Verified Profile Summary

Larry Johnson is a registered healthcare professional specializing in Private Vehicle in Waco, TX. Practice services are available at 600 LAKE AIR DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Lake Air Dr
Suite 3a

Waco, TX 767105887

Telephone 2542246208
Associated Practice Facility / Clinic
🏢 Pay A Ride Facility NPI 1194119354

Specialty Benchmarks & Practice Insights

Comparative analytics for Private Vehicle in Waco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Waco, TX (207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Private Vehicle Primary Specialty

NUCC Taxonomy Code: 347C00000X

State License TX 36634675

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Marcus Hodges , LMT

Massage Therapist

NPI 1578213369

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2015

Registered at 600 LAKE AIR DR, SUITE 3A, WACO, TX 767105887 (Tel: 2542246208)

📍
Updated Business Mailing Address January 07, 2015

Registered at 600 LAKE AIR DR, SUITE 3A, WACO, TX 767105887 (Tel: 2542246208)

👤
Provider Name / Credentials Updated January 07, 2015

Recorded as LARRY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2015

Private Vehicle (License #36634675 in TX)

🟢
Initial NPI Registration & Enumeration January 07, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093103491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2015
Last Update: January 07, 2015
Sole Proprietor: Yes

Mailing Address

600 Lake Air Dr, Suite 3a

Waco, TX 767105887

Phone: 2542246208

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.