Healthcare Provider Details

I. General information

NPI: 1184551970
Provider Name (Legal Business Name): MADFAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 TRESTLETREE PL
SPRING TX
77380-4214
US

IV. Provider business mailing address

82 TRESTLETREE PL
SPRING TX
77380-4214
US

V. Phone/Fax

Practice location:
  • Phone: 480-622-4035
  • Fax:
Mailing address:
  • Phone: 480-622-4035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMANDA SCHERR MADRIL
Title or Position: OWNER
Credential:
Phone: 480-622-4035