| Dr Ron E Slate Jr, DPM PLLC | |
|
2036 E Mulberry St, Angleton, TX 77515-3923 | |
| (979) 848-0777 | |
| (979) 849-0757 |
| Full Name | Dr Ron E Slate Jr |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 28 Years |
| Location | 2036 E Mulberry St, Angleton, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922006063 | NPI | - | NPPES |
| 171187104 | Medicaid | TX | |
| 5304710001 | Other | TX | MEDICARE DME PTAN |
| 8B8071 | Other | TX | MEDICARE IND PTAN |
| 00528W | Other | TX | MEDICARE GROUP PTAN |
| 1548 | Other | TX | TEXAS LICENSE NUMBER |
| 152063702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1548 (Texas) | Secondary |
| 213E00000X | Podiatrist | 1548 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St. Lukes' Brazosport Hospital | Lake jackson, TX | Hospital |
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| University Of Texas Medical Branch Galveston | Galveston, TX | Hospital |
| Provider Name | Ron E. Slate, Jr. Dpm Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184731531 PECOS PAC ID: 4486636925 Enrollment ID: O20040607001026 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ron E Slate Jr, DPM PLLC 2036 E Mulberry St, Angleton, TX 77515-3923 Ph: (979) 848-0777 | Dr Ron E Slate Jr, DPM PLLC 2036 E Mulberry St, Angleton, TX 77515-3923 Ph: (979) 848-0777 |
Ron E. Slate Jr Dpm Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 2036 E Mulberry St, Angleton, TX 77515 Phone: 979-848-0777 Fax: 979-849-0757 |