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Contact Information

CHARLES T FRIES, EDD
3800 PALUXY DR
SUITE 440
TYLER, TX75703
 Phone: 903-526-5550
 Fax: 903-526-5551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLES T FRIES · (Male)

NPI # 1003970625
Status Active
Credentials EDD
Entity Individual
Enumeration date 12/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 21305
  • TX Other 81478P BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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