Wal-Mart Stores Texas, LP

NPI #1649379520 in Jasper, Texas

Provider Information

NPI Number: 1649379520
Entity Type: Organization
Organization Name: Wal-Mart Stores Texas, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 21, 2006
Last Updated: May 13, 2025

Practice Location

Address: 800 W GIBSON ST
City: Jasper
State: Texas
ZIP Code: 75951-4914
Phone: (409) 384-1707

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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