MEDICARE: MAD INTEGRATIVE HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1467339838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAD INTEGRATIVE HEALTH PLLC

Provider Business Mailing Address
First Line	:	1700 CEDAR SPRINGS RD APT 2116
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75202-1226
Country	:	US
Telephone Number	:	330-420-8803
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 CEDAR SPRINGS RD APT 2116
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75202-1226
Country	:	US
Telephone Number	:	330-420-8803
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	MALLORIE DAVIDSON
Credential	:	FNP-C
Telephone Number	:	330-420-8803

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

Similar Medicare Providers

1811187016 — DR. ANTHONY JONES D.C.
Practice Location Address:

9330 AMBERTON PKWY , SUITE 1226
DALLAS, TX
75243-3278

Practice Phone: 972-235-9355
Practice Fax: 972-235-9356

1235590035 — PHILIP BROWN M.D, J.D.
Practice Location Address:

3554 ROSEDALE AVE
DALLAS, TX
75205-1226

Practice Phone: 817-584-1824
Practice Fax:

1528667185 — MRS. JORDAN ELAINE HALLORAN LCSW
Practice Location Address:

333 E GREENBRIAR LN APT 1226
DALLAS, TX
75203-1115

Practice Phone: 214-695-3221
Practice Fax:

1316620073 — ACORNFIELD LLC
Practice Location Address:

8330 LBJ FWY STE 335
DALLAS, TX
75243-1226

Practice Phone: 469-269-8957
Practice Fax:

1679334494 — EFRAIN JOSUE RAMIREZ RODRIGUEZ
Practice Location Address:

7425 LA VISTA DR APT 1226
DALLAS, TX
75214-4360

Practice Phone: 787-410-1405
Practice Fax:

1356903611 — DR. KATIE CHADWICK PH.D.
Practice Location Address:

1412 MAIN ST STE 320
DALLAS, TX
75202-4701

Practice Phone: 214-760-1964
Practice Fax:

Directions to “MAD INTEGRATIVE HEALTH PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.