Wal-Mart Stores Texas, LLC

NPI #1306259205 in Sachse, Texas

Provider Information

NPI Number
1306259205
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
Jun 9, 2014
Last Updated
Jun 9, 2014

Practice Location

Address
8015 WOODBRIDGE PARKWAY
City
Sachse
State
Texas
ZIP Code
75048
Phone
(469) 440-0294

Authorized Official

Name
LAURA LEVINE
Title
DIR HEATHCARE CONT & ENROLLMENT
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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