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Contact Information

CHARLES T FRIES EDD PC
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
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CHARLES T FRIES EDD PC · (Female)

NPI # 1831227909
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 17645
  • TX License # 19298
  • TX License # 21305
  • TX Other 81478P BLUE CROSS BLUE SHIELD CH
  • TX Other 84575L BLUE CROSS BLUE SHIELD JU
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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