Active NPI
Wild Child Medicine, PLLC
- Pediatric Gastroenterology Physician
- San Antonio, TX
National Provider Identifier
1265346126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.