Individual
DR. GRACE MUKAMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8715 VILLAGE DR STE 418, SAN ANTONIO, TX 78217-5407
(210) 655-3800
(210) 655-3801
Mailing address
8711 VILLAGE DR STE 114, SAN ANTONIO, TX 78217-5419
(210) 655-3800
(210) 655-3801
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
N3913
TX
2084N0600X
Clinical Neurophysiology Physician
N3913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210192501
—
TX
Enumeration date
05/21/2007
Last updated
06/04/2019
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