1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Podiatrist
  6. NPI Profile

LARRY A BULAHAO DPM PA
NPI 1477740975
Podiatrist - Primary Podiatric Medicine in San Antonio, TX

Active since September 27, 2007
8835 SAGEBRUSH LN, SAN ANTONIO, TX 78217(210) 599-3008(210) 599-6175 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larry A Bulahao Dpm Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY A BULAHAO DPM PA (NPI 1477740975) is a healthcare organization registered as a primary podiatric medicine in San Antonio, Texas and active in the NPI registry since September 2007. The organization lists Larry Ajolo Bulahao, Owner, as its authorized official.

NPPES Registry Identity

NPI1477740975
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameLARRY A BULAHAO DPM PA
Location Address8835 SAGEBRUSH LNSan Antonio, TX 78217-5822
Mailing Address8835 Sagebrush LnSan Antonio, TX 78217-5822 · (210) 599-3008 · Fax (210) 599-6175
Phone(210) 599-3008
Fax(210) 599-6175
Organization SubpartNo
Authorized OfficialLarry Ajolo BulahaoOwner · (210) 599-3008
Enumeration DateSeptember 27, 2007
Last NPPES UpdateMarch 20, 2008
✔ NPI 1477740975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in TX · 1606
8835 SAGEBRUSH LN, San Antonio, TX 78217
Open in Google Maps ↗

Other Identifiers 4

Medicare NSC4937640001
OtherP00216950Rr Mcr
Medicaid157842901TX
Medicare PIN00968U

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry A Bulahao Dpm PA's NPI number?

The NPI number for Larry A Bulahao Dpm PA is 1477740975. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Larry A Bulahao Dpm PA located?

Larry A Bulahao Dpm PA is located at 8835 Sagebrush Ln, San Antonio, TX 78217. The listed phone number is (210) 599-3008.

What is Larry A Bulahao Dpm PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Larry A Bulahao Dpm PA was last updated on March 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.