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Providence Neurology Clinic PA

Neurology Physician in Laredo, TX · enumerated 2009 · authorized official Grace Mukamana, MD/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144555251

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Neurology Clinic PA
Practice address 220 W Hillside Rd, Suite 5 B, Laredo, TX, 78041
Phone (956) 717-4074
Fax (956) 717-4186
Enumeration date Oct 7, 2009
Last updated in NPPES Jun 21, 2012

Taxonomy & classification

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License N3913 (TX) Primary
2084N0600X Clinical Neurophysiology Physician Allopathic & Osteopathic Physicians · License N3913 (TX) Secondary

Authorized official

Name Grace Mukamana
Title MD/Owner
Phone (956) 717-4074

Other identifiers

Identifier Type State Issuer
210191701 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-06-21. Verify at npiregistry.cms.hhs.gov.
Where is Providence Neurology Clinic PA located?
The practice location on file with NPPES is in Laredo, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-21.