HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC
NPI 1033925789
Integrative Medicine in San Antonio, TX

Active since December 07, 2024
4940 BROADWAY STE 100, SAN ANTONIO, TX 78209(210) 403-2343(210) 403-2350 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2026, Jul 4, 2025, Jun 26, 2025 and 1 more (4 updates tracked since 2024).

About Holistic Developmental Peds & Integrative Med, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC (NPI 1033925789) is a healthcare organization registered as an integrative medicine in San Antonio, Texas and active in the NPI registry since December 2024. The organization lists Jeri L Penkava, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1033925789
Entity TypeOrganization
Primary Taxonomy202D00000X
Legal Business NameHOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC
Location Address4940 BROADWAY STE 100San Antonio, TX 78209-5732
Mailing Address4940 Broadway Ste 100San Antonio, TX 78209-5732 · (210) 403-2343 · Fax (210) 403-2350
Fax(210) 403-2350
Organization SubpartNo
Authorized OfficialJeri L PenkavaSole Owner · (210) 403-2343
Enumeration DateDecember 7, 2024
Last NPPES UpdateMay 11, 20264 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1033925789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code202D00000X
Definition
A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4940 BROADWAY STE 100, San Antonio, TX 78209

Other Identifiers 1

Medicaid520125301TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Developmental - Behavioral Pediatrics)
4940 BROADWAY STE 100
SAN ANTONIO, TX 78209
Pediatrics (Developmental - Behavioral Pediatrics)
4940 BROADWAY STE 100
SAN ANTONIO, TX 78209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holistic Developmental Peds & Integrative Med, PLLC's NPI number?

The NPI number for Holistic Developmental Peds & Integrative Med, PLLC is 1033925789. It was assigned to this organization in the NPPES registry on December 7, 2024.

Where is Holistic Developmental Peds & Integrative Med, PLLC located?

Holistic Developmental Peds & Integrative Med, PLLC is located at 4940 Broadway Ste 100, San Antonio, TX 78209. The listed phone number is (210) 403-2343.

What is Holistic Developmental Peds & Integrative Med, PLLC's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

What insurance does Holistic Developmental Peds & Integrative Med, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Holistic Developmental Peds & Integrative Med, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holistic Developmental Peds & Integrative Med, PLLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.