Wal-Mart Stores Texas, LP

NPI #1083715585 in Bastrop, Texas

Provider Information

NPI Number: 1083715585
Entity Type: Organization
Organization Name: Wal-Mart Stores Texas, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 26, 2006
Last Updated: May 14, 2025

Practice Location

Address: 488 HIGHWAY 71 W
City: Bastrop
State: Texas
ZIP Code: 78602-3731
Phone: (512) 321-2288

Authorized Official

Name: NICOLE D GENTILE
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

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

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