Wal-Mart Stores Texas, LLC

NPI #1508257312 in Kyle, Texas

Provider Information

NPI Number: 1508257312
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: Feb 16, 2015
Last Updated: Feb 16, 2015

Practice Location

Address: 5754 KYLE PKWY
City: Kyle
State: Texas
ZIP Code: 78640
Phone: (512) 268-0426

Authorized Official

Name: LAURA LEVINE
Title: DIRECTOR OF HEALTHCARE 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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