Jansa, Leslie D

Jansa, Leslie D is an individual health care provider with primary practice located at 4450 Sunset Dr , San Angelo TX 76901-5611. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jansa, Leslie D can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
4450 Sunset Dr San Angelo TX 76901-5611
Phone: (325) 658-1511
Fax: (325) 481-2165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1326324757
LBN Legal business name Jansa, Leslie D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2011
Last updated Aug 8th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326324757 NPPES
Texas Other 863N49 BCBS
Texas MEDICAID 312780501 BCBS

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