institution
Larry A Bulahao Dpm Pa
Primary Podiatric Medicine Podiatrist in San Antonio, Texas
NPI 1477740975

Larry A Bulahao Dpm Pa is a Primary Podiatric Medicine Podiatrist based in San Antonio, TX and is specialized in Primary Podiatric Medicine. Larry A Bulahao Dpm Pa practices in San Antonio, TX. The NPI Number for Larry A Bulahao Dpm Pa is 1477740975 and holds a License No. 1606 (Texas).

The current practice location address for Larry A Bulahao Dpm Pa is 8835 Sagebrush Ln, San Antonio, TX and can be reached out via phone at 210-599-3008 and via fax at 210-599-6175. You can also correspond with Larry A Bulahao Dpm Pa through the mailing address at 8835 SAGEBRUSH LN, SAN ANTONIO, TX - 78217-5822 (mailing address contact number: 210-599-3008).

Location: 8835 Sagebrush Ln, San Antonio, TX, 78217-5822
institution
Provider Profile Details
NPI Number
1477740975
Provider Name
Larry A Bulahao Dpm Pa
Credential
Provider Entity Type
Organization
Address
8835 Sagebrush Ln, San Antonio, TX, 78217-5822
Phone Number
210-599-3008
Fax Number
210-599-6175
Provider Enumeration Date
09/27/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
157842901 05 TX
P00216950 01 RR MCR
institution
Provider Business Practice Location Address Details
Address
8835 Sagebrush Ln
City
State
Zip
78217-5822
Phone Number
210-599-3008
Fax Number
210-599-6175
person
Provider Business Mailing Address Details
Address
8835 Sagebrush Ln
City
State
Zip
78217-5822
Phone Number
210-599-3008
Fax Number
210-599-6175
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
1606 (Texas)
Definition
Definition to come...
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