P Praxis·MD
● Active Type 1 · Individual

DR. Larry Ajolo Bulahao, DPM

Podiatrist·San Antonio, TX· NPI 1962421180 · Enumerated 2006 · 19 years on NPI
Bulahao is 1 of 6 podiatrist providers in San Antonio and 1 of 93 in Texas.
NPI age
19 years
Enumerated 2006-07-19
Primary specialty
Podiatrist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 93 active podiatrist providers in Texas.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
2441 Nacogdoches Rd, # 806
San Antonio, TX 782176044
📞 2108597718
Mailing address
2441 Nacogdoches Rd, # 806
San Antonio, TX 782176044
📞 2105993008fax 2105996175

Specialties

  • Podiatrist Primary
    Definition to come...
    TX license #1606 taxonomy 213EP1101X

Identifiers

TypeValueNotes
05 (TX) 157842901
01 (TX) P00216950 RR MEDICARE
01 (TX) P00450858 RR MEDICARE
05 (TX) 157844502

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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