Wal-Mart Stores Texas, LLC

NPI #1679605000 in Hondo, Texas

Provider Information

NPI Number
1679605000
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
Mar 12, 2007
Last Updated
Jun 5, 2013

Practice Location

Address
109 22ND ST
City
Hondo
State
Texas
ZIP Code
78861-2514
Phone
(830) 426-4356

Authorized Official

Name
LAURA LEVINE
Title
MGR GOV CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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