Wal-Mart Stores Texas, LLC

NPI #1205935194 in Alice, Texas

Provider Information

NPI Number: 1205935194
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: Sep 21, 2006
Last Updated: Jun 5, 2013

Practice Location

Address: 2701 E MAIN ST
City: Alice
State: Texas
ZIP Code: 78332-4194
Phone: (361) 668-0441

Authorized Official

Name: LAURA LEVINE
Title: MGR GOV 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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