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Shelby Young Wager, RD
Registered Dietitian in Tyler, Texas
NPI 1205220373

Shelby Young Wager is a Registered Dietitian based in Dallas, TX. Shelby Young Wager practices in Tyler, TX and has the professional credentials of RD. The NPI Number for Shelby Young Wager is 1205220373 and holds a License No. DT83604 (Texas).

The current practice location address for Shelby Young Wager is 619 S Fleishel Ave, Tyler, TX and can be reached out via phone at 903-510-1173 and via fax at 903-525-1312.

Location: 619 S Fleishel Ave, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205220373
Provider Name
Shelby Young Wager
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
619 S Fleishel Ave, Tyler, TX, 75284-6098
Phone Number
903-510-1173
Fax Number
903-525-1312
Provider Enumeration Date
03/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
348718302 05 TX
75-2616977-124 01 TX TRICARE
P01464110 01 TX RAIL ROAD MEDICARE
75-0818167-015 01 TX TRICARE
348718301 05 TX
P01464094 01 TX RAIL ROAD MEDICARE
8FA581 01 TX BCBS
8FA580 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
619 S Fleishel Ave
City
Tyler
State
Texas
Zip
75701-2004
Phone Number
903-510-1173
Fax Number
903-525-1312
person
Provider Business Mailing Address Details
Address
619 S Fleishel Ave
City
Tyler
State
Texas
Zip
75701-2004
Phone Number
903-510-1173
Fax Number
903-525-1312
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
DT83604 (Texas)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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