Individual provider · Type 1 NPI
Larry Ajolo Bulahao, DPM
Primary Podiatric Medicine Podiatrist · San Antonio, TX
NPI number
1962421180
Active
Practice location
2441 Nacogdoches Rd, # 806
San Antonio, TX 78217-6044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 1606 (TX) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Other primary podiatric medicine podiatrist providers in San Antonio
About NPI 1962421180
Larry Ajolo Bulahao, DPM's National Provider Identifier is 1962421180, issued on Jul 19, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in San Antonio, TX. The record was last updated on Mar 2, 2016.