Wal-Mart Stores Texas, LLC

NPI #1699123893 in Universal City, Texas

Provider Information

NPI Number
1699123893
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WALMART INC.
Primary Specialty
Eyewear Supplier
Enumeration Date
May 27, 2016
Last Updated
Aug 27, 2019

Practice Location

Address
510 KITTY HAWK RD
State
Texas
ZIP Code
78148-3961
Phone
(210) 536-8544

Authorized Official

Name
SARAH LITTLE
Title
DIR HEALTHCARE CONTRACT&ENROLLMENT
Phone
(479) 277-2500

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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