OrganizationActive
Pono Neuromonitoring, PLLC
NPI 1013379627 · Clinical Neurophysiology Physician · Oklahoma City, OK
Provider details
- NPI number
- 1013379627
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roxanna Laroque, Director of Client Experience(210) 598-4277
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Electrodiagnostic Medicine Physician204R00000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
Practice location
3110 S.w. 89th St
Suite 200 E
Oklahoma City, OK 73159
Phone: (210) 598-4277
Approximate (ZIP-level) locationGet directions
Mailing address
1141 N Loop 1604 E #105-612
San Antonio, TX 78232
Registry dates
- Enumerated
- 2016-03-23
- Last updated
- 2022-09-23
- Certified
- 2022-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.