Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Providence Neurology Clinic PA

Organization Neurology Physician · NPI 1144555251

Providence Neurology Clinic PA provides Neurology Physician services in Laredo, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

220 W Hillside Rd Ste 5 B
Laredo, TX 78041-6903 Not confirmed with CMS for 14 years — call before visiting
Phone: (956) 717-4074
Fax: (956) 717-4186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence N3913 (TX)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence N3913 (TX)

Record details

NPI number1144555251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Mukamana — Md/Owner · (956) 717-4074
NPI enumeratedOctober 7, 2009
Last updated in NPPESJune 21, 2012
Mailing address220 W Hillside Rd, Suite 5 B, Laredo, TX 78041-6903

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