Penkava, Jeri L
Penkava, Jeri L is an sole proprietor health care provider with primary practice located at 4940 Broadway Ste 100 , San Antonio TX 78209-5732. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Penkava, Jeri L can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G4242 | Texas |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | G4242 | Texas |
Profile Details
| NPI number | 1134285430 |
|---|---|
| LBN Legal business name | Penkava, Jeri L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Sep 9th, 2026 - about last month |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134285430 | NPPES |
| Texas | MEDICAID | 121517009 | |
| Texas | MEDICAID | 520125301 | |
| Texas | Other | 347259 |
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