Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinic at C. C. Young

Organization Adult Medicine Physician · NPI 1104371442

Clinic at C. C. Young is an Adult Medicine Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016

Practice location Address checks out

4829 W Lawther Dr
Dallas, TX 75214-1858
Phone: (972) 432-7874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 645300 (TX)

Record details

NPI number1104371442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Crews — President/Ceo · (214) 841-2819
Other names Community Clinic At C. C. Young
NPI enumeratedAugust 16, 2016
Last updated in NPPESAugust 16, 2016
Mailing address4847 W Lawther Dr, Suite 100, Dallas, TX 75214-1853

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