DR. LARRY AJOLO BULAHAO DPM NPI 1962421180

NPI Information

  • NPI: 1962421180
  • Provider Name: DR. LARRY AJOLO BULAHAO, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • Address: 2441 NACOGDOCHES RD
    # 806
    SAN ANTONIO, TX
    ZIP 78217
  • Phone: (210) 859-7718

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NPI Details

DR. Larry Ajolo Bulahao, DPM is a primary podiatric medicine podiatrist in San Antonio, TX. DR. Larry Ajolo Bulahao, DPM NPI is 1962421180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2441 NACOGDOCHES RD
# 806
SAN ANTONIO, TX
ZIP 78217-044
Phone: (210) 859-7718

The enumeration date for this NPI number is 7/19/2006 and was last updated on 3/2/2016.

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
1213EP1101XPodiatristPrimary Podiatric Medicine1606TEXASYes

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
1157842901MEDICAIDTEXAS
2157844502MEDICAIDTEXAS
34937640001MEDICARE NSC
48J6639MEDICARE PINTEXAS
5P00216950OTHERTEXASRR MEDICARE
68A6036MEDICARE PINTEXAS
7P00450858OTHERTEXASRR MEDICARE
8U94919MEDICARE UPINTEXAS
98J6640MEDICARE PINTEXAS

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: 11/21/2025

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