NPI age
9 years
Enumerated 2016-10-12
● Active Type 2 · Organization
Clinic At Cc Young
Clinic At Cc Young is 1 of 237 family medicine organizations in Texas.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crews
Ceo
Last NPPES update
2016-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 237 active family medicine providers in Texas.
NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-10Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
4847 W Lawther Dr, Ste 100
Dallas, TX 752141853
Mailing address
4847 W Lawther Dr, Ste 100
Dallas, TX 752141853
Authorized official
Russel Crews
Ceo
📞 2148278080
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Michelle Cao Physical Therapist NPI 1871389049
Specialties
-
Family Medicine PrimaryA 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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.