Organization
CHARLES T FRIES EDD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES T FRIES EDD (PRESIDENT CHARLES T FRIES EDD PC)
(903) 526-5550
Entity
Organization
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
101YP2500X
Professional Counselor
17645
TX
101YP2500X
Professional Counselor
19298
TX
103T00000X
Psychologist
Primary
21305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81478P
BLUE CROSS BLUE SHIELD CH
TX
01
—
84575L
BLUE CROSS BLUE SHIELD JU
TX
Enumeration date
03/01/2007
Last updated
09/11/2025
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