MR. Jerad Coburn, ATC, LAT

NPI #1023671914 in Cypress, Texas

Provider Information

NPI Number
1023671914
Entity Type
Individual
Name
MR. Jerad Coburn, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Apr 17, 2019
Last Updated
Apr 17, 2019

Practice Location

Address
11811 OWENS CANYON LN
State
Texas
ZIP Code
77433-2809
Phone
(765) 318-9446

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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