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

Mr. Cody Ryan Wade, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740731785

Mr. Cody Ryan Wade, ATC is a Student in an Organized Health Care Education/Training Program in Pearland, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

11850 Broadway St
Pearland, TX 77584-3972
Phone: (281) 299-2127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT4303 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 070802059 (TX)

Record details

NPI number1740731785
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedOctober 14, 2016
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021

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