Wal-Mart Stores Texas, LLC

NPI #1144301581 in Azle, Texas

Provider Information

NPI Number: 1144301581
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: Oct 18, 2006
Last Updated: Jun 6, 2013

Practice Location

Address: 721 BOYD RD
City: Azle
State: Texas
ZIP Code: 76020-4811
Phone: (817) 270-5716

Authorized Official

Name: LAURA LEVINE
Title: MANAGER, GOV'T CONTRACTING
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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