Clinic at Cc Young
NPI 1659821809ActiveOrganization· Family Medicine, Geriatric Medicine· Dallas, TX
Family Medicine, Geriatric Medicine in Dallas, Texas, registered in NPPES in October 2016. The authorized official on file is Russel Crews, Ceo.
Overview
| NPI | 1659821809 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2016 |
| Last updated in NPPES | Nov 8, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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