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RON E. SLATE JR DPM PLLC NPI 1184731531


NPI Information

NPI: 1184731531
Provider Name: RON E. SLATE JR DPM PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2036 E MULBERRY ST
ANGLETON, TX
ZIP 77515
Phone: (979) 848-0777
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RON E. SLATE JR DPM PLLC is a podiatrist in Angleton, TX. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. RON E. SLATE JR DPM PLLC NPI is 1184731531. The provider is registered as an organization entity type.

The provider's business location address is:

2036 E MULBERRY ST
ANGLETON, TX
ZIP 77515-923
Phone: (979) 848-0777
Fax: (979) 849-0757

The provider's authorized official is Ron E. Slate .
The authorized official title is Medical Director/owner and has the following contact phone number (979) 848-0777.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 11/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1171187104MEDICAIDTEXAS
2152063702MEDICAIDTEXAS
35304710001OTHERTEXASMEDICARE DME PTAN
48B8071OTHERTEXASMEDICARE INDIVIDUAL PTAN
500528WOTHERTEXASMEDICARE GROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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