Wal-Mart Stores Texas, LLC

NPI #1801208426 in Benbrook, Texas

Provider Information

NPI Number: 1801208426
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: Nurse Practitioner
Enumeration Date: Jun 2, 2014
Last Updated: Feb 19, 2015

Practice Location

Address: 8840 BENBROOK BLVD
City: Benbrook
State: Texas
ZIP Code: 76126-3440
Phone: (682) 233-6832

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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