Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CODY RYAN WADE, ATC
Active Sole ProprietorMR. CODY RYAN WADE, ATC is a Athletic Trainer healthcare provider located in PEARLAND, Texas. NPI 1740731785 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PEARLAND, TX
Registration Details
- NPI Number
- 1740731785
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2016 (9.8289514143397 yrs)
- Last Updated
- Jan 5, 2021
- Licenses
-
070802059 (TX)AT4303 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11850 BROADWAY STPEARLAND, TX, 775843972Browse TX providers · Browse ZIP 77584
- Phone
- 2812992127
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in PEARLAND, TX
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER MICHAEL SHADDOCK | ATC, LAT | 1942318019 |
| MRS. JILL F FLOWERS | A.T.C.,L.A.T. | 1417090747 |
| MR. DOUGLAS OLIVER BLACKARD | MS, MHA, LAT, CMPE | 1184754475 |
| MRS. COY VAN VALKENBURGH | MS, ATC, LAT | 1043633860 |
| JONATHAN UTSEY | ATC, LAT | 1427429737 |
| SABRINA CAMPOS | — | 1659724003 |
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.