Provider Demographics
NPI:1386864510
Name:BARTO, LESLIE JONATHAN (PA)
Entity Type:Individual
Prefix:MR
First Name:LESLIE
Middle Name:JONATHAN
Last Name:BARTO
Suffix:
Gender:M
Credentials:PA
Other - Prefix:MR
Other - First Name:LES
Other - Middle Name:J
Other - Last Name:BARTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:8302 W HAUSMAN RD APT 725
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3758
Mailing Address - Country:US
Mailing Address - Phone:830-237-4200
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical