Wal-Mart Stores Texas, LLC

NPI #1912445487 in Castroville, Texas

Provider Information

NPI Number: 1912445487
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: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 1151 US HWY 90 E
City: Castroville
State: Texas
ZIP Code: 78009
Phone: (830) 538-6356

Authorized Official

Name: KYLEE FISHER
Title: MANAGER
Phone: (479) 204-1258

Specialties & Taxonomy Codes

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

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