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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