# MARTIN V SLOAN DPM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAKE POINTE FOOT AND ANKLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619484615
- **Authorized official:** MARTIN VAN SLOAN DPM (OWNER)
- **Authorized official phone:** (325) 695-1890

## Contact information

- **Practice address:** 6800 HERITAGE PKWY STE 104, ROCKWALL, TX 75087-8746
- **Practice address phone:** (972) 412-9400
- **Practice address fax:** (972) 412-9416
- **Mailing address:** 1150 N 18TH ST STE 206, ABILENE, TX 79601-2931
- **Mailing address phone:** (325) 695-1890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2017
- **Last updated:** 02/19/2018