Wal-Mart Stores Texas LLC

NPI #1396045027 in Allen, Texas

Provider Information

NPI Number: 1396045027
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 28, 2010
Last Updated: Jun 6, 2013

Practice Location

Address: 730 W EXCHANGE PKWY
City: Allen
State: Texas
ZIP Code: 75013-7078
Phone: (214) 383-4742

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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