MEDICARE: MEGAN MCCREA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2155583	TX

General Provider Information

NPI Number	:	1457059818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MCCREA

Provider Business Mailing Address
First Line	:	1919 POST OAK PARK DR APT 2206
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-3314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2555 S BRAESWOOD BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-2827
Country	:	US
Telephone Number	:	713-839-8265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	02/15/2023

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Directions to “ MEGAN MCCREA ” Practice Location

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