Dr. Charles T Fries
Psychologist
3800 Paluxy Dr Suite 440
Tyler
, Texas 75703
Dr. Charles T Fries
Psychologist
3800 Paluxy Dr Suite 440
Tyler
, Texas 75703
(903) 526-5551
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Charles T Fries
- 3800 Paluxy Dr Suite 440
- Tyler, TX
- Zip : 75703
- Fax : (903) 526-5551
- Phone : (903) 526-5550
Second Address
- Dr. Charles T Fries
- 3800 Paluxy Dr Suite 440
- Tyler, TX
- Zip : 75703
- Fax : (903) 526-5551
- Phone : (903) 526-5550
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 21305 | TX |
| Y | 103T00000X | Psychologist | 21305 | TX |
National Provider Identifier
| NPI | 1003970625 |
|---|---|
| Provider Name | Dr. Charles T Fries |
| First Address | Tyler, TX 75703 |
| Second Address | Tyler, TX 75703 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 81478P | BLUE CROSS BLUE SHIELD (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.