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Contact Information

CLINIC AT CC YOUNG
4847 W LAWTHER DR
STE 100
DALLAS, TX75214-1853
 Phone: 214-827-8080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CLINIC AT CC YOUNG

NPI Number 1659821809
LBN Legal business name CLINIC AT CC YOUNG
Authorized official RUSSEL CREWS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2016
Last updated 11/08/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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