Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Lam

Individual provider Athletic Trainer · NPI 1043990104

Ethan Lam is an Athletic Trainer in Bryan, Texas. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3450 Campus Dr
Bryan, TX 77802-3300
Phone: (979) 209-2400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1043990104
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 22, 2023
Mailing address19515 Salado Creek Ct, Cypress, TX 77433-3968

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