NPI age
16 years
Enumerated 2009-10-07
● Active Type 2 · Organization
Providence Neurology Clinic PA
Providence Neurology Clinic PA is 1 of 1903 psychiatry & neurology organizations in Texas.
Primary specialty
Psychiatry & Neurology
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mukamana
Md/owner
Last NPPES update
2012-06-21
Source: monthly bulk 2026-05
How this organization compares
Across 1903 active psychiatry & neurology providers in Texas.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-10Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
220 W Hillside Rd, Suite 5 B
Laredo, TX 780416903
Mailing address
220 W Hillside Rd, Suite 5 B
Laredo, TX 780416903
Authorized official
Grace Mukamana, MD
Md/owner
📞 9567174074
Individual providers at this organization
4 individual providers on file at this primary practice address.
- John Britton, D.D.S. PC Dentist NPI 1699826834
- Isabel De La Torre Technician/Technologist NPI 1740554096
- Santiago Garcia, DO Technician/Technologist NPI 1396283545
- Marissa Gonzalez, M.D. Family Medicine NPI 1104053602
Specialties
-
Psychiatry & Neurology PrimaryA 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.
-
Psychiatry & NeurologyClinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 210191701 |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 1903 Psychiatry & Neurology providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.