Provider Demographics
NPI:1982401170
Name:JRNYS MEDICAL, P.A.
Entity type:Organization
Organization Name:JRNYS MEDICAL, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGERE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:512-960-1075
Mailing Address - Street 1:515 CONGRESS AVE STE 1515
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3515
Mailing Address - Country:US
Mailing Address - Phone:512-960-1075
Mailing Address - Fax:
Practice Address - Street 1:515 CONGRESS AVE STE 1515
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3515
Practice Address - Country:US
Practice Address - Phone:512-960-1075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JRNYS WELLNESS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service