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 / Professional 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:
Map and Directions
Authorized official contact:
Name: Fries, Charles T EDD
Phone: (903) 526-5550

Health care specialties

SpecialtyCodeLicense #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 Aug 22nd, 2020 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
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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