Individual
JEFFREY LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-4100
Mailing address
4499 MEDICAL DR STE 347, SAN ANTONIO, TX 78229-3853
(210) 615-8757
(210) 615-8789
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
K9836
TX
2088P0231X
Pediatric Urology Physician
Primary
K9836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118863313
—
TX
Enumeration date
02/02/2007
Last updated
07/31/2024
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