Wal-Mart Stores Texas, LP
NPI #1205927480 in Montgomery, Texas
Provider Information
- NPI Number
- 1205927480
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Texas, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 27, 2006
- Last Updated
- May 12, 2025
Practice Location
- Address
- 18700 HIGHWAY 105 W
- City
- Montgomery
- State
- Texas
- ZIP Code
- 77356-5625
- Phone
- (936) 582-1551
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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