P Praxis·MD
● Active Type 2 · Organization

Clinic At C. C. Young

Family Medicine·Dallas, TX· NPI 1104371442 · Enumerated 2016 · 9 years on NPI
Clinic At C. C. Young is 1 of 312 family medicine organizations in Texas.
NPI age
9 years
Enumerated 2016-08-16
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crews
President/ceo
Last NPPES update
2016-08-16
Source: monthly bulk 2026-05

How this organization compares

Across 312 active family medicine providers in Texas.

NPI age
9 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-08Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
4829 W Lawther Dr
Dallas, TX 752141858
📞 9724327874
Mailing address
4847 W Lawther Dr, Suite 100
Dallas, TX 752141853
📞 2148278080

Authorized official

Russell Crews
President/ceo
📞 2148412819

Specialties

  • Family Medicine Primary
    The NUCC recommends this code not be used. Choose a more appropriate code.
    TX license #645300 taxonomy 207QA0505X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • COMMUNITY CLINIC AT C. C. YOUNG
    Type code 3 recorded 2016-08-16

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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