Providence Neurology Clinic Pa
Neurology - Clinical Neurophysiology Clinic
220 W Hillside Rd, Suite 5 B, Laredo
Texas, 78041-6903
956-717-4074 956-717-4186
Maps & DirectionsProvidence Neurology Clinic Pa is a Neurology - Clinical Neurophysiology Clinic in Laredo, Texas. It is located at 220 W Hillside Rd, Suite 5 B, Laredo, TX and its contact number is 956-717-4074. The authorized person for Providence Neurology Clinic Pa is Dr. Grace Mukamana
who is Md/owner of the clinic and his/her contact number is 956-717-4074. The primary license number for Providence Neurology Clinic Pa is N3913 (Neurology) in Texas.
Providence Neurology Clinic Pa Clinic is subspecialized with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Complete Clinic Profile:
Providence Neurology Clinic Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Providence Neurology Clinic Pa |
| Specialization: | Clinical Neurophysiology |
| Clinic Address: | 220 W Hillside Rd, Suite 5 B, Laredo,
Texas, 78041-6903 |
| Phone: | 956-717-4074 |
| Fax: | 956-717-4186 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Grace Mukamana |
| Position: | Md/owner |
| Contact Number: | 956-717-4074 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Neurology Clinic Pa clinic are as mentioned below.
| NPI Number: | 1144555251 |
| NPI Enumeration Date: | 07 Oct, 2009 |
| NPI Last Update On: | 21 Jun, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Neurology Clinic Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology | N3913 | Texas | Primary | |
| Clinical Neurophysiology | N3913 | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 210191701 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Providence Neurology Clinic Pa
220 W Hillside Rd, Suite 5 B
Laredo, Texas |
| Zip: | 78041-6903 |
| Phone Number: | 956-717-4074 |
| Fax Number: | 956-717-4186 |
Patients can reach Providence Neurology Clinic Pa at
220 W Hillside Rd, Suite 5 B, Laredo, Texas or can
call to book an appointment on 956-717-4074.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.