Individual
DR. JERI L PENKAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4940 BROADWAY STE 100, SAN ANTONIO, TX 78209-5732
(210) 403-2343
(210) 403-2350
Mailing address
4940 BROADWAY STE 100, SAN ANTONIO, TX 78209-5732
(210) 403-2343
(210) 403-2350
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
G4242
TX
208000000X
Pediatrics Physician
G4242
TX
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
G4242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121517009
—
TX
01
—
347259
PTAN
TX
Enumeration date
12/29/2006
Last updated
04/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us