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Holistic Developmental Peds & Integrative Med, Pllc

Integrative Medicine Physician in San Antonio, TX · enumerated 2024 · authorized official Jeri Penkava, Sole Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033925789

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Registry record

Entity type Organization (Type 2)
Legal business name Holistic Developmental Peds & Integrative Med, Pllc
Practice address 4940 Broadway Ste 100, San Antonio, TX, 78209
Fax (210) 403-2350
Enumeration date Dec 7, 2024
Last updated in NPPES May 11, 2026

Taxonomy & classification

202D00000X Integrative Medicine Physician Allopathic & Osteopathic Physicians Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2080P0006X Developmental - Behavioral Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jeri Penkava
Title Sole Owner

Other identifiers

Identifier Type State Issuer
520125301 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Holistic Developmental Peds & Integrative Med, Pllc?
NPPES lists Jeri Penkava (Sole Owner) as the authorized official for this organization.
What is the NPI number for Holistic Developmental Peds & Integrative Med, Pllc?
The NPI for Holistic Developmental Peds & Integrative Med, Pllc is 1033925789, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-11.