Organization
ADHD PLUS INC
Active
Other names
ADHD Plus
Organization subpart
No
Provider details
NPI number
Authorized official
JERI L PENKAVA MD (OWNER)
(210) 403-2343
Entity
Organization
Contact information
Practice address
1370 PANTHEON WAY, STE 250, SAN ANTONIO, TX 78232-2290
(210) 403-2343
(210) 403-2350
Mailing address
1370 PANTHEON WAY STE 250, SAN ANTONIO, TX 78232-2290
(210) 403-2343
(210) 403-2350
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121517009
—
TX
Enumeration date
06/20/2008
Last updated
03/08/2023
Update your record
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