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CLINIC AT CC YOUNG NPI 1659821809


NPI Information

NPI: 1659821809
Provider Name: CLINIC AT CC YOUNG
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
4847 W LAWTHER DR
STE 100
DALLAS, TX
ZIP 75214
Phone: (214) 827-8080
Get Directions

CLINIC AT CC YOUNG is a geriatric medicine family medicine in Dallas, TX. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. CLINIC AT CC YOUNG NPI is 1659821809. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4847 W LAWTHER DR
STE 100
DALLAS, TX
ZIP 75214-853
Phone: (214) 827-8080

The provider's authorized official is Russel Crews .
The authorized official title is Ceo and has the following contact phone number (214) 827-8080.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 11/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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