Larry a Bulahao DPM PA

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

1606 Issued in TX

Legal business name

LARRY A BULAHAO DPM PA

Practice address

8835 Sagebrush LN
San Antonio, TX 78217-5822

Phone

(210) 599-3008

Fax

(210) 599-6175

NPI assigned

Sep 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Larry Ajolo Bulahao, DPM

Title

Owner

Phone

(210) 599-3008

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1477740975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 SAGEBRUSH LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175822",
            "telephone_number": "210-599-3008",
            "fax_number": "210-599-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 SAGEBRUSH LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175822",
            "telephone_number": "210-599-3008",
            "fax_number": "210-599-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY A BULAHAO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BULAHAO",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "AJOLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-599-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157842901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00216950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Laroche
• Robert Arthur Laroche, DPM
• Scott Lance Laroque, CNIM
• Evangelina Larragoitiy
• Annalisa Larralde, MD
• Susan Marie Lars, RN
• Ann J Larsen, DDS, MS
• Audrey Larsen
• Brian Lee Larsen, CNIM
• Todd S Larsen, PH.D.

• Primary Podiatric Medicine Podiatrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Podiatric Medicine Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.