Charles T Fries Edd Pc
LBN: Charles T Fries Edd Pc
Charles T Fries Edd Pc is an health care organization with primary practice located at 3800 Paluxy Dr Suite 440, Tyler TX 75703. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Charles T Fries Edd Pc can be contacted via phone (903) 526-5550, or through Fries, Charles T via phone (903) 526-5550.
Contact Information
Primary practice address
3800 Paluxy Dr Suite 440
Tyler TX 75703
Phone: (903) 526-5550
Fax: (903) 526-5551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 19298 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 17645 | Texas |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 21305 | Texas |
Profile Details
| NPI number | 1831227909 |
|---|---|
| LBN Legal business name | Charles T Fries Edd Pc |
| DBA Doing business as | |
| Authorized official | Fries, Charles T EDD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Sep 11th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831227909 | NPPES |
| Texas | Other | 84575L | BLUE CROSS BLUE SHIELD JU |
| Texas | Other | 81478P | BLUE CROSS BLUE SHIELD JU |
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