Wal-Mart Stores Texas, LLC

NPI #1912004375 in Tyler, Texas

Provider Information

NPI Number
1912004375
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
Sep 20, 2006
Last Updated
Jun 5, 2013

Practice Location

Address
5050 TROUP HWY
City
Tyler
State
Texas
ZIP Code
75707-1916
Phone
(903) 939-0911

Authorized Official

Name
LAURA LEVINE
Title
MGR GOV CONTRACT
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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