| Charles T Fries Edd Pc | |
|
3800 Paluxy Dr Suite 440 Tyler TX 75703 | |
| (903) 526-5550 | |
| (903) 526-5551 |
| Full Name | Charles T Fries Edd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3800 Paluxy Dr, Tyler, Texas |
| Authorized Official Name and Position | Charles T Fries (PRESIDENT CHARLES T FRIES EDD PC) |
| Authorized Official Contact | 9035265550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles T Fries Edd Pc 3800 Paluxy Dr Suite 440 Tyler TX 75703 Ph: (903) 526-5550 | Charles T Fries Edd Pc 3800 Paluxy Dr Suite 440 Tyler TX 75703 Ph: (903) 526-5550 |
| NPI Number | 1831227909 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3779740600 |
|---|---|
| Medicare Enrollment ID | O20120206000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831227909 | NPI | - | NPPES |
| 84575L | Other | TX | BLUE CROSS BLUE SHIELD JU |
| 81478P | Other | TX | BLUE CROSS BLUE SHIELD CH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 19298 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 17645 (Texas) | Primary |
| 103T00000X | Psychologist | 21305 (Texas) | Primary |
| Provider Name | Philip R Taft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285762120 PECOS PAC ID: 3375508203 Enrollment ID: I20041122000086 |
| Provider Name | Charles T Fries |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003970625 PECOS PAC ID: 2264699198 Enrollment ID: I20120206000312 |
University Of Texas Health Science Center At Tyler Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 | |
Purple Crayon Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Front St Ste 227, Tyler, TX 75702 Phone: 903-287-0646 Fax: 903-560-9500 | |
Mission Partner Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16159 Chris Ln, Tyler, TX 75703 Phone: 903-839-9396 | |
Willow Bend Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2902 State Highway 31 E, Tyler, TX 75702 Phone: 903-596-8900 Fax: 903-596-8903 | |
Trinity Integrative Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12863 County Road 192, Tyler, TX 75703 Phone: 903-805-0229 | |
Paideia Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3815 Pine Manor Dr, Tyler, TX 75701 Phone: 907-885-5955 | |
Rl Roberts Ms Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 S Fleishel Ave, Tyler, TX 75701 Phone: 903-581-0933 Fax: 903-581-3977 |