Individual
DR. RON E SLATE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM PLLC
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
1548
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1548
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00528W
MEDICARE GROUP PTAN
TX
05
—
152063702
—
TX
01
—
1548
TEXAS LICENSE NUMBER
TX
05
—
171187104
—
TX
01
—
5304710001
MEDICARE DME PTAN
TX
01
—
8B8071
MEDICARE IND PTAN
TX
Enumeration date
07/12/2005
Last updated
08/20/2025
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