Wal-Mart Stores Texas, LLC

NPI #1225589674 in Hewitt, Texas

Provider Information

NPI Number
1225589674
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
Oct 20, 2016
Last Updated
Jan 5, 2017

Practice Location

Address
733 SUN VALLEY BLVD
City
Hewitt
State
Texas
ZIP Code
76643
Phone
(254) 340-6611

Authorized Official

Name
LAURA LEVINE
Title
DIR. HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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