All Medicaid billing entities listing PORTILLO, DANIEL (COO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Texas | 1 | $4K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PROLAB INCORPORATED | GEORGETOWN, TX | Clinical Medical Laboratory | $4K |