Wal-Mart Stores Texas, LLC

NPI #1871675835 in Wylie, Texas

Provider Information

NPI Number
1871675835
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
Oct 19, 2006
Last Updated
Jun 6, 2013

Practice Location

Address
2050 N HIGHWAY 78
City
Wylie
State
Texas
ZIP Code
75098-6043
Phone
(972) 429-3526

Authorized Official

Name
LAURA LEVINE
Title
MANAGER, GOV'T CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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