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Organization
RON E. SLATE JR DPM PLLC
Active
Organization
RON E. SLATE JR DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON E. SLATE JR. DPM PLLC (MEDICAL DIRECTOR/OWNER)
(979) 848-0777
Entity
Organization
Contact information
Practice address
2036 E MULBERRY ST, ANGLETON, TX 77515-3923
(979) 848-0777
(979) 849-0757
Mailing address
2036 E MULBERRY ST, ANGLETON, TX 77515-3923
(979) 848-0777
(979) 849-0757
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00528W
MEDICARE GROUP PTAN
TX
05
—
152063702
—
TX
05
—
171187104
—
TX
01
—
5304710001
MEDICARE DME PTAN
TX
01
—
8B8071
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
08/23/2006
Last updated
08/20/2025
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