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

Mr. Jerad Coburn, ATC, LAT

Individual provider Athletic Trainer · NPI 1023671914

Mr. Jerad Coburn, ATC, LAT is an Athletic Trainer in Cypress, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

11811 Owens Canyon Ln
Cypress, TX 77433-2809
Phone: (765) 318-9446
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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 AT4674 (TX)

Record details

NPI number1023671914
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedApril 17, 2019
Last updated in NPPESApril 17, 2019

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