Provider Demographics
NPI:1033625850
Name:SMALLEY, SARITA E (DC)
Entity Type:Individual
Prefix:MS
First Name:SARITA
Middle Name:E
Last Name:SMALLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 SAGE RD
Mailing Address - Street 2:APT 802
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056
Mailing Address - Country:US
Mailing Address - Phone:713-516-7746
Mailing Address - Fax:
Practice Address - Street 1:11301 RICHMOND AVE.
Practice Address - Street 2:SUITE K103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082
Practice Address - Country:US
Practice Address - Phone:281-679-6111
Practice Address - Fax:281-679-6132
Is Sole Proprietor?:No
Enumeration Date:2017-12-15
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor