Wal-Mart Stores Texas, LLC

NPI #1912088014 in Graham, Texas

Provider Information

NPI Number: 1912088014
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 17, 2006
Last Updated: May 29, 2013

Practice Location

Address: 2121 STATE HIGHWAY 16 S
City: Graham
State: Texas
ZIP Code: 76450-4615
Phone: (940) 521-0910

Authorized Official

Name: LAURA LEVINE
Title: MANAGER GOV CONTRACTING
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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