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Clinic At C. C. Young
Adult Medicine Physician in Dallas, Texas
NPI 1104371442

Clinic At C. C. Young is an Adult Medicine Physician based in Dallas, TX and is specialized in Adult Medicine. Clinic At C. C. Young practices in Dallas, TX. The NPI Number for Clinic At C. C. Young is 1104371442 and holds a License No. 645300 (Texas).

The current practice location address for Clinic At C. C. Young is 4829 W Lawther Dr, Dallas, TX and can be reached out via phone at 972-432-7874.

Location: 4829 W Lawther Dr, Dallas, TX, 75214-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104371442
Provider Name
Clinic At C. C. Young
Credential
Provider Entity Type
Organization
Address
4829 W Lawther Dr, Dallas, TX, 75214-1853
Phone Number
972-432-7874
Fax Number
Provider Enumeration Date
08/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4829 W Lawther Dr
City
Dallas
State
Texas
Zip
75214-1858
Phone Number
972-432-7874
Fax Number
person
Provider Business Mailing Address Details
Address
4829 W Lawther Dr
City
Dallas
State
Texas
Zip
75214-1858
Phone Number
972-432-7874
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
645300 (Texas)
Definition
Definition to come.
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