Mukamana, Grace

Mukamana, Grace is an individual health care provider with primary practice located at 8715 Village Dr Ste 418 , San Antonio TX 78217-5407. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Mukamana, Grace can be contacted via phone (210) 655-3800.

Contact Information

Primary practice address
8715 Village Dr Ste 418 San Antonio TX 78217-5407
Fax: (210) 655-3801
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X N3913 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X N3913 Texas

Profile Details

NPI number 1326256348
LBN Legal business name Mukamana, Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jun 4th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326256348 NPPES
Texas MEDICAID 210192501

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