Provider Demographics
NPI:1982401972
Name:HERRERA, MADISON DUNN (CD)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:DUNN
Last Name:HERRERA
Suffix:
Gender:
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 WILLIAMSBURG DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6018
Mailing Address - Country:US
Mailing Address - Phone:214-223-5805
Mailing Address - Fax:
Practice Address - Street 1:1408 WILLIAMSBURG DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6018
Practice Address - Country:US
Practice Address - Phone:214-223-5805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12506374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula