MRS. MICHELLE STEVENSON/TARANGO (NPI# 1275904120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275904120 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE STEVENSON/TARANGO |
| Credential | CERTIFIED HAIR LOSS |
| Practice Address |
22243 County Road 374 22247 County Road 374 Gladewater TX 75647-9661 |
| Practice Telephone | 9038453430 |
| Mailing Telephone | 9033301811 |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
22243 COUNTY ROAD 374 22247 COUNTY ROAD 374 |
| City | GLADEWATER |
| State | TX |
| Zip Code | 75647-9661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215308135 | Michelle Salon of Cuts and Styles/ Hair Loss Center | Specialist | 22243 County Road 374, 22247 County Road 374, Gladewater, TX 75647-9661 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559321 | B &g Custom Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1088 Willow Oak Rd, Gladewater, TX 75647 | 2020-08-20 |
| 1578866182 | Easttexrx LLC | Pharmacy | 402b W Upshur, Gladewater, TX 75647 | 2010-12-21 |
| 1518173285 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2402 Woodbine, Gladwater, TX 75647 | 2007-05-16 |
| 1407921638 | Michael Ray Ellis | Dentist | 406 West Upshur Ave, Gladewater, TX 75647 | 2006-11-22 |
| 1811087356 | Walker Pharmacy | Pharmacy | 402 B W Upshur, Gladewater, TX 75647 | 2006-10-13 |
| 1508953399 | Legend Healthcare Gladewater, Lp | Skilled Nursing Facility | 1201 Fm 2685, Gladewater, TX 75647 | 2006-10-05 |
| 1720033517 | L-m-r Health Care Services Inc | Intermediate Care Facility, Mentally Retarded | 502 Tenery St, Gladewater, TX 75647 | 2006-05-23 |
| 1093172785 | Tracy Casey | Nurse Practitioner | 1600 Broadway Ave, Gladewater, TX 75647 | 2016-01-26 |
| 1851434237 | Union Grove Isd | Local Education Agency (LEA) | Old Hwy 271 S, Gladewater, TX 75647-1447 | 2007-02-15 |
| 1164957692 | Jolene Ackley | Private Vehicle | 500 W Marshall Ave, Gladewater, TX 75647-2110 | 2017-04-21 |
| Find all providers in zip 75647 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215308135 | Michelle Salon of Cuts and Styles/ Hair Loss Center | Specialist | 22243 County Road 374, 22247 County Road 374, Gladewater, TX 75647-9661 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364390 | Majoreactions LLC | Specialist | 1628 W Hebron Pkwy Ste 103, Carrollton, TX 75010-6311 | 2020-10-22 |
| 1821602418 | Minty Bea | Specialist | 11070 Katy Fwy Apt 1271, Houston, TX 77043-4765 | 2020-09-01 |
| 1073123543 | Connie Lavonne Reid | Specialist | 216 Abel Dr, Glenn Heights, TX 75154-3862 | 2020-08-08 |
| 1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
| 1700495835 | Jonesia Melton | Specialist | 210 Highway 3 N Ste B, League City, TX 77573-2132 | 2020-07-24 |
| 1649888223 | Terry Lamont Jackson | Specialist | 1101 E Yandell Dr, El Paso, TX 79902-5524 | 2020-07-20 |
| 1033727656 | Janaye Rachelle White | Specialist | 8413 Almeda Rd Ste Q2, Houston, TX 77054-7103 | 2020-07-20 |
| 1316555022 | Eric Martell Buffington | Specialist | 16811 Fondness Park Dr, Spring, TX 77379-6928 | 2020-07-20 |
| 1720696479 | Younits Custom Wigs LLC | Specialist | 4909 W Park Blvd Ste 157, Plano, TX 75093-2399 | 2020-07-20 |
| 1003432089 | Tamika N Brown | Specialist | 12521 Nacogdoches Rd Ste 106, San Antonio, TX 78217-2117 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | GLADEWATER |
| Zip Code | 75647 |
Please comment or provide details below to improve the information on MRS. MICHELLE STEVENSON/TARANGO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.