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.

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
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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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