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Contact Information

DANIEL S PORTILLO
21 CYPRESS BLVD STE 1155
ROUND ROCK, TX78665-1046
 Phone: 512-832-9145
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Microbiology

207ZM0300X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DANIEL S PORTILLO · (Male)

NPI Number 1154068419
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2022
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # 45D2182351
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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