Wal-Mart Stores Texas, LLC

NPI #1811337397 in Horizon City, Texas

Provider Information

NPI Number: 1811337397
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: Jun 28, 2013
Last Updated: Jun 28, 2013

Practice Location

Address: 13900 HORIZON BLVD
City: Horizon City
State: Texas
ZIP Code: 79928
Phone: (479) 273-4288

Authorized Official

Name: LAURA LEVINE
Title: MGR. GOVERNMENT CONTRACTS
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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