Organization
LEGION MEDICAL PA
Active
Organization
LEGION MEDICAL PA
Active
Other names
Legion Health PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN KOLE MD (PRESIDENT)
(773) 633-3499
Entity
Organization
Contact information
Practice address
1606 HEADWAY CIR STE 9779, AUSTIN, TX 78754-5123
(737) 237-2900
(812) 221-2017
Mailing address
1606 HEADWAY CIR STE 9779, AUSTIN, TX 78754-5123
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
04/06/2023
Last updated
05/26/2026
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