Provider Demographics
NPI:1598068108
Name:GILES, LESLIE PRESTON (FNP-C)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:PRESTON
Last Name:GILES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:KAREN
Other - Last Name:PRESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:6801 S IH 35
Mailing Address - Street 2:SUITE 1-E
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-4824
Mailing Address - Country:US
Mailing Address - Phone:512-978-9960
Mailing Address - Fax:512-901-9746
Practice Address - Street 1:6801 S IH 35
Practice Address - Street 2:SUITE 1-E
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-4824
Practice Address - Country:US
Practice Address - Phone:512-978-9960
Practice Address - Fax:512-901-9746
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily