# JON P. MCCREARY, D.P.M., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881182129
- **Authorized official:** DR. JON MCCREARY DPM (OWNER)
- **Authorized official phone:** (817) 731-4279

## Contact information

- **Practice address:** 3221 HULEN ST STE A, FORT WORTH, TX 76107
- **Practice address phone:** (817) 731-4279
- **Mailing address:** PO BOX 92096, SOUTHLAKE, TX 76092-0101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 1644 | TX | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | 1644 | TX | — |
| 213ES0000X | Sports Medicine Podiatrist | 1644 | TX | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1644 | TX | Yes |

## Other

- **Enumeration date:** 04/23/2018
- **Last updated:** 11/20/2023