LARRY A BULAHAO DPM PA (NPI# 1477740975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477740975 |
| Entity Type | Organization |
| Organization Name | LARRY A BULAHAO DPM PA |
| Practice Address |
8835 Sagebrush Ln San Antonio TX 78217-5822 |
| Practice Telephone | 2105993008 |
| Practice Fax Number | 2105996175 |
| Mailing Telephone | 2105993008 |
| Mailing Fax Number | 2105996175 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | DR. LARRY AJOLO BULAHAO (OWNER) |
| Authorized Official Telephone | 2105993008 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
1606 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MCR | P00216950 | 01 | |
| TX | 157842901 | 05 |
| Street Address |
8835 SAGEBRUSH LN |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78217-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390278 | Nadia Sanchez De Ramos | Counselor | 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 | 2020-06-10 |
| 1104455518 | Lamonica Shantae Armond | Counselor | 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 | 2020-04-07 |
| 1487282414 | Debra Pitts | Counselor | 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 | 2020-03-27 |
| 1083241129 | Jena Lalley | Nurse Practitioner | 8723 Botts Lane, San Antonio, TX 78217 | 2020-03-26 |
| 1699307173 | Kingdom Outreach Center of San Antonio, Tx | Counselor | Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217 | 2020-02-12 |
| 1881224277 | Tinyada Robinson | Recreation Therapist | 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 | 2020-01-24 |
| 1255996815 | Chelsey Lynn Guy | Dental Hygienist | 10231 Kotzebue St., San Antonio, TX 78217 | 2019-05-08 |
| 1972069144 | Emma Getic | Behavioral Analyst | 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 | 2019-02-13 |
| 1487133781 | Rebecca Rendon | Registered Nurse | 8610 N. New Braunfels Ave, Ste. 405, San Antonio, TX 78217 | 2018-08-08 |
| 1326526922 | Charlene Michelle Turner | Registered Nurse | 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 | 2018-08-06 |
| Find all providers in zip 78217 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538471958 | Podiatry First of San Antonio Pllc | Podiatrist | 8142 Night Bluff Dr, San Antonio, TX 78255-3300 | 2010-07-14 |
| 1568532950 | Lawrence Allen Czelusta I | Podiatrist | 8601 Village Dr Ste 104, San Antonio, TX 78217-5509 | 2006-11-09 |
| 1962421180 | Larry Ajolo Bulahao | Podiatrist | 2441 Nacogdoches Rd, # 806, San Antonio, TX 78217-6044 | 2006-07-19 |
| 1144253022 | Celeste Borchers Valenzuela | Podiatrist | 7500 Barlite Blvd Ste 201, San Antonio, TX 78224 | 2006-07-07 |
| 1255437729 | Oran Everett Burnett | Podiatrist | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2006-09-15 |
| 1699774463 | James Michael Bluhm | Podiatrist | 5282 Medical Dr, Suite 107, San Antonio, TX 78229-4849 | 2005-07-14 |
| 1740285329 | Kenneth Williams | Podiatrist | 1954 E Houston St, Rm 202, San Antonio, TX 78202-2953 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699513 | K. Danneeru Dpm Pllc | Podiatrist | 8104 Pacific St, Frisco, TX 75035-7300 | 2020-11-08 |
| 1689179327 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 170 Benney Ln Ste 100, Dripping Springs, TX 78620-5566 | 2018-03-26 |
| 1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
| 1639695406 | Advantage Foot Care of Houston, Pllc | Podiatrist | 8313 Southwest Fwy Ste 105, Houston, TX 77074-1612 | 2017-08-14 |
| 1508387549 | Barton Chase Garcia | Podiatrist | 116 Imperial Dr Ste A, Victoria, TX 77901-3948 | 2017-06-29 |
| 1609225986 | Kelly Tatum Brace | Podiatrist | Scott and White, 2401 S 31st. St., Temple, TX 76508-0001 | 2016-06-08 |
| 1164890562 | Free Foot Doctor.com | Podiatrist | 24914 Tomball Pkwy Ste 180, Tomball, TX 77375-5080 | 2015-09-02 |
| 1992069777 | Brady Mallory | Podiatrist | 1940 East Hwy 114 Suite 150, Southlake, TX 76092 | 2012-06-27 |
| 1699034728 | Joel Bruce Dacus | Podiatrist | 4444 Heritage Trace Pkwy Ste 400, Fort Worth, TX 76244-8944 | 2012-05-09 |
| 1619241437 | Foot Center Mcallen-weslaco Pllc | Podiatrist | 4103 N Jackson Road, Ste. 200, Mcallen, TX 78504 | 2012-02-24 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78217 |
Please comment or provide details below to improve the information on LARRY A BULAHAO DPM PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.