# DARRENTATEMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164819819
- **Authorized official:** DARREN RANDALL TATE MD (OWNER)
- **Authorized official phone:** (817) 334-7500

## Contact information

- **Practice address:** 1327 HEMPHILL ST, FORT WORTH, TX 76104-4735
- **Practice address phone:** (817) 334-7500
- **Practice address fax:** (817) 334-7501
- **Mailing address:** 1327 HEMPHILL ST, FORT WORTH, TX 76104-4735
- **Mailing address phone:** (817) 334-7500
- **Mailing address fax:** (817) 334-7501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | L3851 | TX | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/21/2015