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
Address 8835 Sagebrush Ln, San Antonio, Texas
Phone Number 2105993008
Fax Number 2105996175
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bulahao Ajolo Larry
Credentials DPM
Telephone Number 2105993008

NPI Number Detail

NPI Number 1477740975
Provider Enumeration Date 2007-09-27
Last Updated Date 2008-03-20

Provider Mailing Address Detail

Address 8835 Sagebrush Ln
City San Antonio
State Texas (TX)
Post Code 782175822
Phone Number 2105993008
Fax Number 2105996175

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
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

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FAQs about Larry A Bulahao Dpm Pa

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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