Organization · Type 2 NPI

Legion Medical PA

Psychiatry Physician · Austin, TX

NPI number 1104511039 Active

Practice location

1606 Headway Cir Ste 9779
Austin, TX 78754-5123

Fax (812) 221-2017

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808XNone listed
Psychiatry Physician Primary 2084P0800XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808XNone listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1104511039

Legion Medical PA's National Provider Identifier is 1104511039, issued on Apr 6, 2023. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Austin, TX. The record was last updated on May 26, 2026.