Jerad Coburn, ATC, LAT

Athletic Trainer · Cypress, TX

Individual Active NPI

NPI number 1023671914

Practice location

11811 Owens Canyon Ln
Cypress, TX 77433-2809
Phone
(765) 318-9446

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NPI record

NPI
1023671914
Entity type
Individual (Type 1)
Enumeration date
April 17, 2019
Last updated
April 17, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT4674 TX

About Jerad Coburn

Jerad Coburn, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 11811 Owens Canyon Ln, Cypress, TX 77433-2809. The NPI number 1023671914 was assigned on April 17, 2019 and the record was last updated on April 17, 2019.

Jerad Coburn lists a license in the registry: #AT4674 (TX) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerad Coburn, ATC, LAT?

The NPI number is 1023671914.

What is the phone number of Jerad Coburn?

The phone number listed for the practice location is (765) 318-9446.

Where is Jerad Coburn located?

11811 Owens Canyon Ln, Cypress, TX 77433-2809.

What is the taxonomy code for Jerad Coburn?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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