Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERAD COBURN, ATC, LAT
Active Sole ProprietorMR. JERAD COBURN, ATC, LAT is a Athletic Trainer healthcare provider located in CYPRESS, Texas. NPI 1023671914 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CYPRESS, TX
Registration Details
- NPI Number
- 1023671914
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2019 (7.3334488332947 yrs)
- Last Updated
- Apr 17, 2019
- License
-
AT4674 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11811 OWENS CANYON LNCYPRESS, TX, 774332809Browse TX providers · Browse ZIP 77433
- Phone
- 7653189446
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CYPRESS, TX
| Name | Credential | NPI |
|---|---|---|
| MR. CORT DAVID GILLEN | ATC | 1801850441 |
| MISS MELISSA GILBERT | ATC, LAT | 1881607190 |
| MRS. KIMBERLY ANN FATERKOWSKI | LAT | 1467582114 |
| MR. DAVID SCOTT WILKINSON | LAT | 1194840850 |
| MR. ANTHONY G PINEDA | MS, MED, LAT | 1871703520 |
| MR. RONALD JOSEPH HEBERT III | MS, LAT, ATC | 1134468010 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.