Wal-Mart Stores Texas, LLC

NPI #1184015992 in Killeen, Texas

Provider Information

NPI Number
1184015992
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
Feb 16, 2015
Last Updated
Feb 16, 2015

Practice Location

Address
3404 W STAN SCHLUETER LOOP
State
Texas
ZIP Code
76549-4705
Phone
(254) 669-6172

Authorized Official

Name
LAURA LEVINE
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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