Wal-Mart Stores Texas, LP
NPI #1164514873 in Austin (nw), Texas
Provider Information
- NPI Number
- 1164514873
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Texas, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 29, 2006
- Last Updated
- May 12, 2025
Practice Location
- Address
- 12900 N. I-35 SVC RD. SB
- City
- Austin (nw)
- State
- Texas
- ZIP Code
- 78753
- Phone
- (512) 837-9886
Authorized Official
- Name
- NICOLE D GENTILE
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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