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PROVIDENCE NEUROLOGY CLINIC PA
NPI 1144555251
Psychiatry & Neurology - Neurology in Laredo, TX

Active since October 07, 2009
220 W HILLSIDE RD, SUITE 5 B, LAREDO, TX 78041(956) 717-4074(956) 717-4186 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Neurology Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE NEUROLOGY CLINIC PA (NPI 1144555251) is a healthcare organization registered as a neurology in Laredo, Texas and active in the NPI registry since October 2009. The organization lists Grace Mukamana, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1144555251
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NamePROVIDENCE NEUROLOGY CLINIC PA
Location Address220 W HILLSIDE RD, SUITE 5 BLaredo, TX 78041-6903
Mailing Address220 W Hillside Rd, Suite 5 BLaredo, TX 78041-6903 · (956) 717-4074 · Fax (956) 717-4186
Phone(956) 717-4074
Fax(956) 717-4186
Organization SubpartNo
Authorized OfficialGrace MukamanaMd/owner · (956) 717-4074
Enumeration DateOctober 7, 2009
Last NPPES UpdateJune 21, 2012
✔ NPI 1144555251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · N3913
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License N3913 (TX)
220 W HILLSIDE RD, Laredo, TX 78041
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Other Identifiers 2

Medicare PIN0A5401
Medicaid210191701TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MARISSA RENEE GONZALEZ M.D.
Family Medicine
220 W HILLSIDE RD, STE 4A
LAREDO, TX 78041
Webb County (956) 726-6937
ORTIZ MANAGEMENT GROUP, INC.
Clinic/Center (Adult Day Care)
220 W HILLSIDE RD
LAREDO, TX 78041
Webb County (956) 753-5737
MR. SANTIAGO SERGIO GARCIA DO
Technician/Technologist (Contact Lens Fitter)
220 W HILLSIDE RD, SUITE 9
LAREDO, TX 78041
Webb County (956) 724-5656
OPTIC RA
Eyewear Supplier
220 W HILLSIDE RD, #9
LAREDO, TX 78041
Webb County (956) 724-5656
MARISSA R GONZALEZ MD PLLC
Family Medicine
220 W HILLSIDE RD, STE 4A
LAREDO, TX 78041
Webb County (956) 726-6937
DR. JOHN C BRITTON D.D.S. PC
Dentist (Oral and Maxillofacial Pathology)
220 W HILLSIDE RD, SUITE#1
LAREDO, TX 78041
Webb County (956) 724-2244
ISABEL P DE LA TORRE
Technician/Technologist (Contact Lens)
220 W HILLSIDE RD, SUITE 9
LAREDO, TX 78041
Webb County (956) 724-5656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Neurology Clinic PA's NPI number?

The NPI number for Providence Neurology Clinic PA is 1144555251. It was assigned to this organization in the NPPES registry on October 7, 2009.

Where is Providence Neurology Clinic PA located?

Providence Neurology Clinic PA is located at 220 W Hillside Rd Suite 5 B, Laredo, TX 78041. The listed phone number is (956) 717-4074.

What is Providence Neurology Clinic PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Providence Neurology Clinic PA was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.