Wal-Mart Stores Texas LLC

NPI #1003237918 in Elgin, Texas

Provider Information

NPI Number: 1003237918
Entity Type: Organization
Organization Name: Wal-Mart Stores Texas LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WAL-MART STORES INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Dec 18, 2013
Last Updated: Dec 18, 2013

Practice Location

Address: 1320 W HWY 290
City: Elgin
State: Texas
ZIP Code: 78621-0000
Phone: (479) 204-0709

Authorized Official

Name: AMY POWERS
Title: SPECIALIST, PLAN ENROLLMENT
Phone: (479) 204-0709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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