Healthcare Provider Details

I. General information

NPI: 1700527397
Provider Name (Legal Business Name): MELISSA K PATE APRN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 08/16/2025
Certification Date: 08/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 BROOK AVE
WICHITA FALLS TX
76301-5617
US

IV. Provider business mailing address

2001 BROOK AVE
WICHITA FALLS TX
76301-5617
US

V. Phone/Fax

Practice location:
  • Phone: 940-285-5052
  • Fax: 940-241-6150
Mailing address:
  • Phone: 940-285-5052
  • Fax: 940-241-6150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1074122
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: