Search › Texas › 2255A2300X
Jerad Coburn, ATC, LAT
NPI 1023671914 · on the registry since 2019 · sole proprietor
Practice
- Address
- 11811 Owens Canyon Ln
Cypress, TX 77433 - Phone
- (765) 318-9446
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas