Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holistic Developmental Peds & Integrative Med, PLLC

Organization Integrative Medicine Physician · NPI 1033925789

Holistic Developmental Peds & Integrative Med, PLLC is an Integrative Medicine Physician in San Antonio, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4940 Broadway Ste 100
San Antonio, TX 78209-5732
Phone: (210) 403-2343
Fax: (210) 403-2350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Integrative Medicine Physician (primary) Taxonomy 202D00000X
Pediatrics Physician Taxonomy 208000000X
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1033925789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeri Penkava — Sole Owner · (210) 403-2343
NPI enumeratedDecember 7, 2024
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address4940 Broadway Ste 100, San Antonio, TX 78209-5732