Wal-Mart Stores Texas, LLC

NPI #1578644274 in Roanoke, Texas

Provider Information

NPI Number
1578644274
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 18, 2006
Last Updated
Jun 6, 2013

Practice Location

Address
1228 N HIGHWAY 377
State
Texas
ZIP Code
76262-9122
Phone
(682) 831-9338

Authorized Official

Name
LAURA LEVINE
Title
MANAGER, GOV'T CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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