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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

NPI Number 1831227909
LBN Legal business name CHARLES T FRIES EDD PC
Authorized official CHARLES FRIES - (PRESIDENT CHARLES T FRIES EDD PC)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 09/11/2025 - About 9 months ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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