| NPI | 1104371442 |
|---|---|
| Doing Business As | COMMUNITY CLINIC AT C. C. YOUNG |
| Entity Type | Organization |
| Authorized Contact | RUSSELL CREWS President/CEO 214-841-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX 645300) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |