Organization Active NPI

Wild Child Medicine, PLLC

  • Pediatric Gastroenterology Physician
  • San Antonio, TX
National Provider Identifier
1265346126
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
Legal business name
WILD CHILD MEDICINE, PLLC
Practice address
1533 Austin Hwy Ste 102-435
San Antonio, TX 78218-1730
Phone
(281) 813-3335
NPI assigned
Sep 29, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Patrick Todd Reeves, MD
Title
Ceo
Phone
(210) 934-2222

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU
Pediatric Gastroenterology Physician 2080P0206X NU Primary
Clinical Informatics Physician 2083C0008X NU
Obesity Medicine (Preventive Medicine) Physician 2083B0002X NU

Addresses

Primary practice location

1533 Austin Hwy Ste 102-435
San Antonio, TX 78218-1730

Mailing address

1533 Austin Hwy Ste 102-435
San Antonio, TX 78218-1730
Phone (281) 813-3335

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1265346126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 AUSTIN HWY STE 102-435",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181730",
            "telephone_number": "281-813-3335",
            "fax_number": "816-575-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 AUSTIN HWY STE 102-435",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181730",
            "telephone_number": "281-813-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD CHILD MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-934-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.