All Medicaid billing entities listing FERNANDO, SUTHA (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Texas | 1 | $80.10 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | IMMANUEL FAMILY CLINIC PLLC | CARROLLTON, TX | Family Nurse Practitioner | $80.10 |