Individual
LARRY JOHNSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 LAKE AIR DR, SUITE 3A, WACO, TX 76710-5887
(254) 224-6208
Mailing address
600 LAKE AIR DR, SUITE 3A, WACO, TX 76710-5887
(254) 224-6208
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
36634675
TX
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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