Bulahao, Larry Ajolo

Bulahao, Larry Ajolo is an sole proprietor health care provider with primary practice located at 2441 Nacogdoches Rd # 806, San Antonio TX 78217-6044. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Bulahao, Larry Ajolo can be contacted via phone (210) 859-7718.

Contact Information

Primary practice address
2441 Nacogdoches Rd # 806 San Antonio TX 78217-6044
Phone: (210) 859-7718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 1606 Texas

Profile Details

NPI number 1962421180
LBN Legal business name Bulahao, Larry Ajolo
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Mar 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962421180 NPPES
Texas MEDICAID 157842901
Texas Other P00216950
Texas Other P00450858
Texas MEDICAID 157844502

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