Wal-Mart Stores Texas, LLC

NPI #1437231404 in Desoto, Texas

Provider Information

NPI Number: 1437231404
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 19, 2006
Last Updated: Jun 6, 2013

Practice Location

Address: 951 W BELT LINE RD
City: Desoto
State: Texas
ZIP Code: 75115-3741
Phone: (972) 223-1711

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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