NPI 1033925789

Holistic Developmental Peds & Integrative Med, PLLC

Organisation Integrative Medicine Physician San Antonio, TX

Practice location

Address: 4940 Broadway STE 100, San Antonio, TX 78209-5732
Phone: (210) 403-2343
Fax: (210) 403-2350

Authorised official

Name: Jeri L Penkava
Title: Sole Owner
Phone: (210) 403-2343

Registered specialties (4)

Integrative Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202D00000X

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Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

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Developmental - Behavioral Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0006X

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1033925789
Entity type: Organization
NPI issued: 7 Dec 2024
Record last updated: 11 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.