Provider Demographics
NPI:1437503190
Name:SMARINSKY WELLNESS PLLC
Entity Type:Organization
Organization Name:SMARINSKY WELLNESS PLLC
Other - Org Name:WELLNESS LANE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:SMARINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-214-9355
Mailing Address - Street 1:13881 MIDWAY RD
Mailing Address - Street 2:#104
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-3353
Mailing Address - Country:US
Mailing Address - Phone:214-214-9355
Mailing Address - Fax:214-214-9355
Practice Address - Street 1:13881 MIDWAY RD
Practice Address - Street 2:#104
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-3353
Practice Address - Country:US
Practice Address - Phone:214-214-9355
Practice Address - Fax:214-214-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11603111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty