DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LARRY AJOLO BULAHAO, DPM

Active Sole Proprietor

DR. LARRY AJOLO BULAHAO, DPM is a Radiology Podiatrist healthcare provider located in SAN ANTONIO, Texas. NPI 1962421180 is currently active in the NPPES registry. Verify at CMS.

Radiology Podiatrist · SAN ANTONIO, TX

Registration Details

NPI Number
1962421180
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2006 (20.054560619596 yrs)
Last Updated
Mar 2, 2016
License
1606 (TX)
Sole Proprietor
Yes

Practice Information

Address
2441 NACOGDOCHES RD
# 806
SAN ANTONIO, TX, 782176044
Browse TX providers · Browse ZIP 78217
Phone
2108597718
Primary Specialty
Radiology Podiatrist
213EP1101X

Other Radiology Podiatrist Providers in SAN ANTONIO, TX

Name Credential NPI
KENNETH WILLIAMS DPM 1740285329
DR. LAWRENCE ALLEN CZELUSTA I D.P.M. 1568532950
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.