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Organization
CLINIC AT C. C. YOUNG
Active
Organization
CLINIC AT C. C. YOUNG
Active
Other names
COMMUNITY CLINIC AT C. C. YOUNG
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL CREWS (PRESIDENT/CEO)
(214) 841-2819
Entity
Organization
Contact information
Practice address
4829 W LAWTHER DR, DALLAS, TX 75214-1858
(972) 432-7874
Mailing address
4847 W LAWTHER DR, SUITE 100, DALLAS, TX 75214-1853
(214) 827-8080
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
645300
TX
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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