Healthcare Provider Details

I. General information

NPI: 1184731531
Provider Name (Legal Business Name): RON E. SLATE JR DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2036 E MULBERRY ST
ANGLETON TX
77515-3923
US

IV. Provider business mailing address

2036 E MULBERRY ST
ANGLETON TX
77515-3923
US

V. Phone/Fax

Practice location:
  • Phone: 979-848-0777
  • Fax: 979-849-0757
Mailing address:
  • Phone: 979-848-0777
  • Fax: 979-849-0757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. RON E. SLATE JR.
Title or Position: MEDICAL DIRECTOR/OWNER
Credential: DPM PLLC
Phone: 979-848-0777