Individual
LESLIE E. JAKUBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
1283 BELLA LUNA LN, LEAGUE CITY, TX 77573-1201
(832) 687-4095
Mailing address
1283 BELLA LUNA LN, LEAGUE CITY, TX 77573-1201
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
687571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193243601
—
TX
01
—
88342U
BCBS
TX
01
—
P00624499
RR MEDICARE
TX
Enumeration date
09/18/2007
Last updated
10/10/2025
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