Wal-Mart Stores Texas, LLC
NPI #1265851018 in Copperas Cove, Texas
Provider Information
- NPI Number
- 1265851018
- 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
- Nurse Practitioner
- Enumeration Date
- Apr 9, 2014
- Last Updated
- Feb 19, 2015
Practice Location
- Address
- 2720 E BUSINESS 190
- City
- Copperas Cove
- State
- Texas
- ZIP Code
- 76522-2584
- Phone
- (254) 661-6016
Authorized Official
- Name
- LAURA LEVINE
- Title
- DIRECTOR OF HEALTHCARE CONTRACTING
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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| Kristin Marie Cummings, APRN, FNP-C | |
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