Providence 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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.