Organization
ADHD PLUS
Active
Other names
ADHD Plus, ADHD Plus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERI L PENKAVA MD (PHYSICIAN/OWNER)
(210) 403-2343
Entity
Organization
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
101Y00000X
Counselor
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12151709
—
TX
Enumeration date
08/15/2022
Last updated
08/03/2025
Update your record
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