Wal-Mart Stores Texas, LLC

NPI #1396821872 in Corsicana, Texas

Provider Information

NPI Number: 1396821872
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 27, 2006
Last Updated: Jun 5, 2013

Practice Location

Address: 3801 W HIGHWAY 31
City: Corsicana
State: Texas
ZIP Code: 75110-9211
Phone: (903) 872-6691

Authorized Official

Name: LAURA LEVINE
Title: MGR GOV CONTRACTING
Phone: (316) 788-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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