OrganizationActive
Clinic at C. C. Young
NPI 1104371442 · Adult Medicine Physician · Dallas, TX
Clinic at C. C. Young is a Adult Medicine Physician organization in Dallas, TX (NPI 1104371442).
Provider details
- NPI number
- 1104371442
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Russell Crews, President/Ceo(214) 841-2819
- License
- 645300 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4829 W Lawther Dr
Dallas, TX 75214-1858
Phone: (972) 432-7874
Street-level locationGet directions
Mailing address
4847 W Lawther Dr
Dallas, TX 75214-1853
Other names (DBA / former)
- Doing business as
- Community Clinic at C. C. Young
Registry dates
- Enumerated
- 2016-08-16
- Last updated
- 2016-08-16
Frequently asked questions
- What is Clinic at C. C. Young's NPI number?
- Clinic at C. C. Young's National Provider Identifier (NPI) is 1104371442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinic at C. C. Young?
- Clinic at C. C. Young is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Clinic at C. C. Young located?
- Clinic at C. C. Young's practice location on file with NPPES is 4829 W Lawther Dr, Dallas, TX 75214-1858.
- What is Clinic at C. C. Young's phone number?
- The practice phone number listed in the NPPES registry for Clinic at C. C. Young is (972) 432-7874.
- Who is the authorized official for Clinic at C. C. Young?
- The authorized official listed on Clinic at C. C. Young's NPPES record is Russell Crews, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinic at C. C. Young's NPI active?
- Yes — Clinic at C. C. Young's NPI (1104371442) is active in the NPPES registry as of the last update on 2016-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.