Wal-Mart Stores Texas, LP
NPI #1700983111 in Eagle Pass, Texas
Provider Information
- NPI Number
- 1700983111
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Texas, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 20, 2006
- Last Updated
- May 13, 2025
Practice Location
- Address
- 496 S BIBB AVE
- City
- Eagle Pass
- State
- Texas
- ZIP Code
- 78852-5063
- Phone
- (830) 773-9403
Authorized Official
- Name
- NICOLE D GENTILE
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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