Wal-Mart Stores Texas, LLC

NPI #1629486402 in Devine, Texas

Provider Information

NPI Number
1629486402
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
Jul 24, 2014
Last Updated
Jul 24, 2014

Practice Location

Address
175 IH 35 N
City
Devine
State
Texas
ZIP Code
78016
Phone
(830) 663-5956

Authorized Official

Name
LAURA LEVINE
Title
DIR HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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