Wal-Mart Stores Texas, LP

NPI #1437241080 in Georgetown, Texas

Provider Information

NPI Number
1437241080
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 29, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
620 SOUTH IH 35
State
Texas
ZIP Code
78626
Phone
(512) 863-4855

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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