Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Legion Medical PA

Organization Psychiatric/Mental Health Registered Nurse · NPI 1104511039

Legion Medical PA is a Psychiatric/Mental Health Registered Nurse in Austin, Texas. Works from 3 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1606 Headway Cir Ste 9779
Austin, TX 78754-5123
Phone: (737) 237-2900
Fax: (812) 221-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1613 Coyote Rdg, Carrollton, TX 75010-3227 — (737) 237-2900
  • 350 E 400 S Ste 54825, Salt Lake City, UT 84111-2993 — (737) 237-2900

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0808X

Record details

NPI number1104511039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Kole — President · (773) 633-3499
Other names Legion Health Pa
NPI enumeratedApril 6, 2023
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address1606 Headway Cir Ste 9779, Austin, TX 78754-5123

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