Providence Neurology Clinic PA
NPI 1144555251ActiveOrganization· Psychiatry & Neurology, Neurology· Laredo, TX
Psychiatry & Neurology, Neurology in Laredo, Texas, registered in NPPES in October 2009. The authorized official on file is Grace Mukamana, MD, Md/Owner.
Overview
| NPI | 1144555251 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2009 |
| Last updated in NPPES | Jun 21, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | N3913 | TX |
| Psychiatry & Neurology, Clinical Neurophysiology | 2084N0600X | N3913 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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