Larry A Bulahao Dpm Pa in San Antonio - Primary Podiatric Medicine
Larry A Bulahao Dpm Pa - NPI 1477740975
Larry A Bulahao Dpm Pa is a Primary Podiatric Medicine in San Antonio, Texas. Larry A Bulahao Dpm Pa practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Larry A Bulahao Dpm Pa is 1477740975. The last update date is 2008-03-20.
Larry A Bulahao Dpm Pa's current location address is 8835 Sagebrush Ln, San Antonio, Texas. You can contact this provider via phone number 2105993008 and fax number 2105996175. The mailing address for Larry A Bulahao Dpm Pa is 8835 Sagebrush Ln, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Larry A Bulahao Dpm Pa |
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Address | 8835 Sagebrush Ln, San Antonio, Texas |
Phone Number | 2105993008 |
Fax Number | 2105996175 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Bulahao Ajolo Larry |
Credentials | DPM |
Telephone Number | 2105993008 |
NPI Number Detail
NPI Number | 1477740975 |
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Provider Enumeration Date | 2007-09-27 |
Last Updated Date | 2008-03-20 |
Provider Mailing Address Detail
Address | 8835 Sagebrush Ln |
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City | San Antonio |
State | Texas (TX) |
Post Code | 782175822 |
Phone Number | 2105993008 |
Fax Number | 2105996175 |
Provider's Primary Taxonomy Detail
Speciality | Primary Podiatric Medicine |
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Taxonomy | 213Ep1101X |
Licence No | 1606 |
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
157842901 | TX | -- | |
P00216950 | RR MCR |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Larry A Bulahao Dpm Pa by the Centers for Medicare & Medicaid Services?
The Larry A Bulahao Dpm Pa has been issued the NPI (National Provider Identifier) 1477740975, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Larry A Bulahao Dpm Pa is physically located?
The Larry A Bulahao Dpm Pa is physically situated at the following address: 8835 Sagebrush Ln, San Antonio, TX, 782175822.
What is the area of specialization for Larry A Bulahao Dpm Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry A Bulahao Dpm Pa is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477740975 to Larry A Bulahao Dpm Pa?
The Centers for Medicare & Medicaid Services originally issued the 1477740975 to Larry A Bulahao Dpm Pa on 2007-09-27.
When was the Larry A Bulahao Dpm Pa's information last updated?
The Larry A Bulahao Dpm Pa's information was last updated on 2008-03-20.
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