| Organization Name: | RON E. SLATE JR DPM PLLC |
| NPI Number: | 1184731531 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RON E. SLATE (MEDICAL DIRECTOR/OWNER) |
| Mailing Address: | 2036 E Mulberry St Angleton |
| State: | TX US |
| Postal Code: | 775153923 |
| Phone Number: | 9798480777 |
| Fax Number: | 9798490757 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 09/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1548 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |