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Dr. Larry Ajolo Bulahao, DPM
Primary Podiatric Medicine Podiatrist in San Antonio, Texas
NPI 1962421180

Larry Ajolo Bulahao is a Primary Podiatric Medicine Podiatrist based in San Antonio, TX and is specialized in Primary Podiatric Medicine. Larry Ajolo Bulahao practices in San Antonio, TX and has the professional credentials of DPM. The NPI Number for Larry Ajolo Bulahao is 1962421180 and holds a License No. 1606 (Texas).

The current practice location address for Larry Ajolo Bulahao is 2441 Nacogdoches Rd, San Antonio, TX and can be reached out via phone at 210-859-7718.

Location: 2441 Nacogdoches Rd, San Antonio, TX, 78217-6044
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Provider Profile Details
NPI Number
1962421180
Provider Name
Larry Ajolo Bulahao
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2441 Nacogdoches Rd, San Antonio, TX, 78217-6044
Phone Number
210-859-7718
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
157842901 05 TX
P00216950 01 TX RR MEDICARE
P00450858 01 TX RR MEDICARE
157844502 05 TX
institution
Provider Business Practice Location Address Details
Address
2441 Nacogdoches Rd
City
State
Zip
78217-6044
Phone Number
210-859-7718
Fax Number
person
Provider Business Mailing Address Details
Address
2441 Nacogdoches Rd
City
State
Zip
78217-6044
Phone Number
210-859-7718
Fax Number
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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