Organization
JON P. MCCREARY, D.P.M., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON MCCREARY DPM (OWNER)
(817) 731-4279
Entity
Organization
Contact information
Practice address
3221 HULEN ST STE A, FORT WORTH, TX 76107
(817) 731-4279
Mailing address
PO BOX 92096, SOUTHLAKE, TX 76092-0101
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1644
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
1644
TX
213ES0000X
Sports Medicine Podiatrist
1644
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1644
TX
Other
Enumeration date
04/23/2018
Last updated
11/20/2023
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