Wal-Mart Stores Texas, LLC

NPI #1003307059 in Richmond, Texas

Provider Information

NPI Number
1003307059
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas, LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
May 25, 2018
Last Updated
May 25, 2018

Practice Location

Address
26824 FM 1093
State
Texas
ZIP Code
77406
Phone
(479) 273-4288

Authorized Official

Name
SARAH LITTLE
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 277-2500

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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