Wal-Mart Stores Texas, LLC

NPI #1760806806 in Bryan, Texas

Provider Information

NPI Number: 1760806806
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: Feb 10, 2014
Last Updated: May 7, 2018

Practice Location

Address: 643 N HARVEY MITCHELL PKWY
City: Bryan
State: Texas
ZIP Code: 77807-1012
Phone: (979) 599-9205

Authorized Official

Name: LAURA LEVINE
Title: DIRECTOR OF GOVERNMENT CONTRACTING
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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