LARRY A BULAHAO DPM PA NPI 1477740975

NPI Information

NPI: 1477740975
Provider Name: LARRY A BULAHAO DPM PA
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
8835 SAGEBRUSH LN
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 599-3008
Get Directions

LARRY A BULAHAO DPM PA is a primary podiatric medicine podiatrist in San Antonio, TX. LARRY A BULAHAO DPM PA NPI is 1477740975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8835 SAGEBRUSH LN
SAN ANTONIO, TX
ZIP 78217-822
Phone: (210) 599-3008
Fax: (210) 599-6175

The provider's authorized official is Larry Ajolo Bulahao .
The authorized official title is Owner and has the following contact phone number (210) 599-3008.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 3/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	1606	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4937640001	MEDICARE NSC
2	P00216950	OTHER		RR MCR
3	157842901	MEDICAID	TEXAS
4	00968U	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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