| Shelby Young Wager, RD | |
|
619 S Fleishel Ave, Ste 327, Tyler, TX 75701-2004 | |
| (903) 510-1173 | |
| (903) 525-1312 |
| Full Name | Shelby Young Wager |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 619 S Fleishel Ave, Tyler, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205220373 | NPI | - | NPPES |
| 348718302 | Medicaid | TX | |
| 75-2616977-124 | Other | TX | TRICARE |
| P01464110 | Other | TX | RAIL ROAD MEDICARE |
| 75-0818167-015 | Other | TX | TRICARE |
| 348718301 | Medicaid | TX | |
| P01464094 | Other | TX | RAIL ROAD MEDICARE |
| 8FA581 | Other | TX | BCBS |
| 8FA580 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT83604 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Young Wager, RD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400 | Shelby Young Wager, RD 619 S Fleishel Ave, Ste 327, Tyler, TX 75701-2004 Ph: (903) 510-1173 |
Clarice Michelle Mcdaniels, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 428 Centennial Pkwy, Tyler, TX 75703 Phone: 903-266-5900 | |
Neily Louise Wheeler, LICENSED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-592-7393 Fax: 903-597-7538 | |
Mrs. Lauren Clark, MS, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 910 E Houston St Ste 320, Tyler, TX 75702 Phone: 903-606-4300 Fax: 903-606-1283 | |
Miss Sara Hanson, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1358 E Richards St, Tyler, TX 75702 Phone: 903-531-9455 | |
Jill Coble, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 | |
Callie Tatman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 | |
Sara Upson, M.ED, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Independence Pl Ste 201, Tyler, TX 75703 Phone: 903-312-8906 |