Wal-Mart Stores Texas, LP

NPI #1134227341 in Converse, Texas

Provider Information

NPI Number: 1134227341
Entity Type: Organization
Organization Name: Wal-Mart Stores Texas, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 20, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 8315 FM 78
City: Converse
State: Texas
ZIP Code: 78109-1043
Phone: (210) 666-6066

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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