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Contact Information

JERI L PENKAVA, MD
4940 BROADWAY STE 100
SAN ANTONIO, TX78209-5732
 Phone: 210-403-2343
 Fax: 210-403-2350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
 

Integrative Medicine

202D00000X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JERI L PENKAVA · (Female)

NPI Number 1134285430
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2006
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # G4242
  • TX Medicaid 121517009
  • TX Other 347259 PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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