Organization
CLINIC AT CC YOUNG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSEL CREWS (CEO)
(214) 827-8080
Entity
Organization
Contact information
Practice address
4847 W LAWTHER DR, STE 100, DALLAS, TX 75214-1853
(214) 827-8080
Mailing address
4847 W LAWTHER DR, STE 100, DALLAS, TX 75214-1853
(214) 827-8080
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
11/08/2016
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