Wal-Mart Stores Texas LP

NPI #1124399324 in Crowley, Texas

Provider Information

NPI Number
1124399324
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LP
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Jan 19, 2012
Last Updated
Jan 19, 2012

Practice Location

Address
1221 FM 1187
State
Texas
ZIP Code
76036
Phone
(682) 233-7838

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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