=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700921905
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DARYL RAY PATE DC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2001 BATES #200 QUEST HEALTH & REHAB
-----------------------------------------------------
City | WAXAHACHIE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75167
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-938-7757
-----------------------------------------------------
Fax | 972-938-0018
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6225 FEATHERWIND
-----------------------------------------------------
City | FT WORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76135
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-721-6596
-----------------------------------------------------
Fax | 972-938-0018
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | DC 6385
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | MT016991
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------