Individual
DANIEL SAUL PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 CYPRESS BLVD STE 1155, ROUND ROCK, TX 78665-1046
(512) 832-9145
Mailing address
1301 BLUE RIDGE DR STE 101, GEORGETOWN, TX 78626-3269
(512) 832-9145
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
Primary
45D2182351
TX
247ZC0005X
Clinical Laboratory Director (Non-physician)
45D2182351
TX
Other
Enumeration date
05/18/2022
Last updated
06/02/2025
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