DR. GRACE MUKAMANA (NPI# 1326256348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326256348 |
| Entity Type | Individual |
| Full Name | DR. GRACE MUKAMANA |
| Credential | MD |
| Practice Address |
8715 Village Dr Ste 418 San Antonio TX 78217-5407 |
| Mailing Address |
8711 Village Dr Ste 114 San Antonio TX 78217-5419 |
| Practice Telephone | 2106553800 |
| Practice Fax Number | 2106553801 |
| Mailing Telephone | 2106553800 |
| Mailing Fax Number | 2106553801 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
N3913 | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
N3913 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 210192501 | 05 |
| Street Address |
8715 VILLAGE DR STE 418 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78217-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390278 | Nadia Sanchez De Ramos | Counselor | 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 | 2020-06-10 |
| 1104455518 | Lamonica Shantae Armond | Counselor | 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 | 2020-04-07 |
| 1487282414 | Debra Pitts | Counselor | 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 | 2020-03-27 |
| 1083241129 | Jena Lalley | Nurse Practitioner | 8723 Botts Lane, San Antonio, TX 78217 | 2020-03-26 |
| 1699307173 | Kingdom Outreach Center of San Antonio, Tx | Counselor | Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217 | 2020-02-12 |
| 1881224277 | Tinyada Robinson | Recreation Therapist | 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 | 2020-01-24 |
| 1255996815 | Chelsey Lynn Guy | Dental Hygienist | 10231 Kotzebue St., San Antonio, TX 78217 | 2019-05-08 |
| 1972069144 | Emma Getic | Behavioral Analyst | 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 | 2019-02-13 |
| 1487133781 | Rebecca Rendon | Registered Nurse | 8610 N. New Braunfels Ave, Ste. 405, San Antonio, TX 78217 | 2018-08-08 |
| 1326526922 | Charlene Michelle Turner | Registered Nurse | 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 | 2018-08-06 |
| Find all providers in zip 78217 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
| 1619458403 | Neuropro of Texas | Psychiatry & Neurology | 2250 Red Rock Xing, San Antonio, TX 78245-3670 | 2018-08-28 |
| 1649669235 | Modk Monitoring Pllc | Psychiatry & Neurology | 4102 S New Braunfels Ave, Ste 110 #123, San Antonio, TX 78223-1707 | 2015-01-20 |
| 1972917888 | South Texas Neurology LLC | Psychiatry & Neurology | 115 Gallery Cir Ste 300, San Antonio, TX 78258-3388 | 2014-06-18 |
| 1245578459 | Neuroden, Pllc | Psychiatry & Neurology | 7113 San Pedro Avenue, #171, San Antonio, TX 78216 | 2013-01-23 |
| 1962749259 | Flag Ship Diagnostics, Pllc | Psychiatry & Neurology | 10730 Potranco Road, Suite 122 #185, San Antonio, TX 78251 | 2013-01-07 |
| 1740548569 | Mark Welborn | Psychiatry & Neurology | 22535 Lynridge Dr, San Antonio, TX 78260-7747 | 2012-04-30 |
| 1003122409 | B. Peyton Delaney, M. D. P.a. | Psychiatry & Neurology | 4499 Medical Dr Ste 122, San Antonio, TX 78229-3745 | 2010-08-23 |
| 1629382817 | Stop Sa, LLC | Psychiatry & Neurology | 3780 N.w. Loop 410, San Antonio, TX 78229 | 2010-07-30 |
| 1184944738 | Hannah Homafar | Psychiatry & Neurology | 4410 Medical Dr Ste 320, San Antonio, TX 78229-3749 | 2010-06-07 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78217 |
Please comment or provide details below to improve the information on DR. GRACE MUKAMANA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.