Michelle Stevenson Tarango, CERTIFIED HAIR LOSS
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Gladewater, TX
NPI 1275904120 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1275904120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Practice address
- 22247 County Road 374
Gladewater, TX 75647-7564 - Phone
- (903) 845-3430
- Fax
- (903) 845-2308
- NPI assigned
- Oct 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle'S Salon of Cuts and Styles/ Non-Surgical Hair Replacement Center | Prosthetics Case Management | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
22247 County Road 374
Gladewater, TX 75647-7564
Mailing address
22247 County Road 374
22247 County Road 374
Gladewater, TX 75647-9661
Phone (903) 845-3430
Other practice location 1
22243 County Road 374
22247 County Road 374
Gladewater, TX 75647-9661
Phone (903) 845-3430
Other providers in Gladewater, TX
- Beverly Skinner-Wells
- Kenneth H. Skipper
- Josh Smith
- Samantha Spiro Landry
- Sydney Paige Spurlock
- Texan Nursing and Rehab of Gladwater LLC
- Victoria Elizabeth Thornton
- Union Grove Isd
- Walker Pharmacy
- Sherri Willis
All providers in Gladewater, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.