Wal-Mart Stores Texas, LLC

NPI #1174902027 in Cibolo, Texas

Provider Information

NPI Number: 1174902027
Entity Type: Organization
Organization Name: Wal-Mart Stores Texas, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WAL-MAT STORES, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: May 26, 2015
Last Updated: May 26, 2015

Practice Location

Address: 602 CIBOLO VALLEY DR
City: Cibolo
State: Texas
ZIP Code: 78108
Phone: (479) 204-8550

Authorized Official

Name: LAURA LEVINE
Title: DIRECTOR
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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