Jeri L Penkava in San Antonio - Developmental - Behavioral Pediatrics
Jeri L Penkava - NPI 1134285430
Jeri L Penkava is a Developmental - Behavioral Pediatrics in San Antonio, Texas. Jeri L Penkava practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Jeri L Penkava is 1134285430. The last update date is 2023-08-18.
Jeri L Penkava's current location address is 323 Ogden Ln, San Antonio, Texas. You can contact this provider via phone number 2104032343 and fax number 2104032350. The mailing address for Jeri L Penkava is 323 Ogden Ln, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeri L Penkava |
|---|---|
| Address | 323 Ogden Ln, San Antonio, Texas |
| Phone Number | 2104032343 |
| Fax Number | 2104032350 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134285430 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2023-08-18 |
Provider Mailing Address Detail
| Address | 323 Ogden Ln |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782095138 |
| Phone Number | 2104032343 |
| Fax Number | 2104032350 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | G4242 |
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Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121517009 | TX | -- | |
| 347259 | TX | PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeri L Penkava by the Centers for Medicare & Medicaid Services?
The Jeri L Penkava has been issued the NPI (National Provider Identifier) 1134285430 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeri L Penkava is physically located?
The Jeri L Penkava is physically situated at the following address: 323 Ogden Ln, San Antonio, TX, 782095138.
What is Jeri L Penkava's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeri L Penkava is Developmental - Behavioral Pediatrics, and the taxonomy code that categorizes this field of expertise is 2080P0006X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134285430 to Jeri L Penkava?
The Centers for Medicare & Medicaid Services assigned the 1134285430 to Jeri L Penkava on 2006-12-29.
When was the information pertaining to Jeri L Penkava most recently updated or revised?
The details related to Jeri L Penkava, including its address, specialty, and other relevant information, were last updated or revised on 2023-08-18.