OrganizationActive
Clinic at Cc Young
NPI 1659821809 · Geriatric Medicine (Family Medicine) Physician · Dallas, TX
Provider details
- NPI number
- 1659821809
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Russel Crews, Ceo(214) 827-8080
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4847 W Lawther Dr
Ste 100
Dallas, TX 75214-1853
Phone: (214) 827-8080
Approximate (ZIP-level) locationGet directions
Mailing address
4847 W Lawther Dr
Dallas, TX 75214-1853
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2016-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.