Holistic Developmental Peds & Integrative Med, Pllc

LBN: Holistic Developmental Peds & Integrative Med, Pllc
Holistic Developmental Peds & Integrative Med, Pllc is an health care organization with primary practice located at 4940 Broadway Ste 100 , San Antonio TX 78209-5732. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Holistic Developmental Peds & Integrative Med, Pllc can be contacted via phone (210) 403-2343, or through Penkava, Jeri L via phone (210) 403-2343.

Contact Information

Primary practice address
4940 Broadway Ste 100 San Antonio TX 78209-5732
Phone: (210) 403-2343
Fax: (210) 403-2350
Website:
Map and Directions
Authorized official contact:
Name: Penkava, Jeri L Doctor of Medicine (MD)
Phone: (210) 403-2343

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1033925789
LBN Legal business name Holistic Developmental Peds & Integrative Med, Pllc
DBA Doing business as
Authorized official Penkava, Jeri L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2024
Last updated May 11th, 2026 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033925789 NPPES
Texas MEDICAID 520125301

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