Organization Active NPI

Mpower Clinical TX

  • Clinical Neurophysiology Physician
  • San Antonio, TX
National Provider Identifier
1134737216
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
MPOWER CLINICAL TX
Practice address
2915 W Bitters Rd Ste 201
San Antonio, TX 78248-2007
Phone
(210) 598-4268
NPI assigned
Jul 15, 2020
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roxanna Laroque
Title
Director, Client Experience
Phone
(210) 598-4277

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Neurology Physician 2084N0400X NU
Clinical Neurophysiology Physician 2084N0600X NU Primary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU
Electrodiagnostic Medicine Physician 204R00000X NU

Addresses

Primary practice location

2915 W Bitters Rd Ste 201
San Antonio, TX 78248-2007

Mailing address

2915 W Bitters Rd Ste 201
San Antonio, TX 78248-2007
Phone (210) 598-4268

Other practice location 1

10151 Deerwood Park Blvd Ste 250
Jacksonville, FL 32256-0566
Phone (210) 598-4268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, OK, SC, VA, AZ, OH, CA, NY, CO, NC12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
O20200810000999 FL Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL; Parkland, FL
O20200811001975 TX Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 38 practitioners
O20200811002859 OK Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 4 practitioners
Practice locations: Edmond, OK; Tulsa, OK; Oklahoma City, OK; Norman, OK; Moore, OK
O20200813002031 SC Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, SC
O20200916000005 VA Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 1 practitioner
Practice locations: Poquoson, VA
O20201013002000 AZ Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 14 practitioners
Practice locations: Glendale, AZ; Chandler, AZ; Tempe, AZ; Sun City West, AZ; Sun City, AZ; Scottsdale, AZ; Phoenix, AZ; Peoria, AZ…
O20201019001295 OH Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH; Grove City, OH; New Albany, OH; Westerville, OH; Zanesville, OH
O20210129001631 CA Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 3 practitioners
Practice locations: Newport Beach, CA
O20210201000483 NY Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY
O20211209001379 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850716705 Practice locations: San Antonio, TX
O20250702003240 CO Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 3 practitioners
Practice locations: Colorado Springs, CO
O20250715000248 NC Part B Supplier - Clinic/Group Practice 1850716705 Receives reassigned benefits from 1 practitioner
Practice locations: Davidson, NC

National Provider Directory

National Provider Directory

Locations

3250 Northpointe Dr
Zanesville, OH 43701
Phone (614) 285-7877

100 SE 59th St
Oklahoma City, OK 73129
Phone (405) 364-9789

9500 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 475-0600

5080 Spectrum Dr
Ste 1100E
Addison, TX 75001
Phone (214) 346-4328

9301 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 693-9331

1738 E Common St
New Braunfels, TX 78130
Phone (210) 705-5715

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1134737216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 W BITTERS RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482007",
            "telephone_number": "210-598-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W BITTERS RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482007",
            "telephone_number": "210-598-4268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10151 Deerwood Park Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322560566",
            "country_code": "US",
            "telephone_number": "210-598-4268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MPOWER CLINICAL TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "LAROQUE",
        "authorized_official_first_name": "ROXANNA",
        "authorized_official_title_or_position": "DIRECTOR, CLIENT EXPERIENCE",
        "authorized_official_telephone_number": "210-598-4277"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.