Individual
MRS. MICHELLE STEVENSON TARANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
22247 COUNTY ROAD 374, GLADEWATER, TX 75647-7564
(903) 845-3430
(903) 845-2308
Mailing address
22247 COUNTY ROAD 374, 22247 COUNTY ROAD 374, GLADEWATER, TX 75647-9661
(903) 845-3430
(903) 845-2308
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/16/2015
Last updated
07/21/2025
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