Individual
DR. CHARLES T FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
3800 PALUXY DR, SUITE 440, TYLER, TX 75703
(903) 526-5550
(903) 526-5551
Mailing address
3800 PALUXY DR, SUITE 440, TYLER, TX 75703
(903) 526-5550
(903) 526-5551
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81478P
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/20/2006
Last updated
07/08/2007
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