Leslie, Jeffrey

Leslie, Jeffrey is an individual health care provider with primary practice located at 4499 Medical Dr Ste 347 , San Antonio TX 78229-3853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Leslie, Jeffrey can be contacted via phone (210) 615-8757.

Contact Information

Primary practice address
4499 Medical Dr Ste 347 San Antonio TX 78229-3853
Fax: (210) 615-8789
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X K9836 Texas
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X K9836 Texas

Profile Details

NPI number 1245378124
LBN Legal business name Leslie, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jan 14th, 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 1245378124 NPPES
Texas MEDICAID 118863313

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