Wal-Mart Stores Texas, LP
NPI #1780780148 in Copperas Cove, Texas
Provider Information
- NPI Number
- 1780780148
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Texas, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 15, 2006
- Last Updated
- May 13, 2025
Practice Location
- Address
- 2720 E HIGHWAY 190
- City
- Copperas Cove
- State
- Texas
- ZIP Code
- 76522-2584
- Phone
- (254) 542-7600
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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