Wal-Mart Stores Texas, LLC

NPI #1922107341 in Austin, Texas

Provider Information

NPI Number: 1922107341
Entity Type: Organization
Organization Name: Wal-Mart Stores Texas, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WAL-AMRT STORES INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 22, 2006
Last Updated: May 29, 2013

Practice Location

Address: 9300 S IH 35 STE B
City: Austin
State: Texas
ZIP Code: 78748-1741
Phone: (512) 292-6973

Authorized Official

Name: LAURA LEVINE
Title: MANAGER GOV CONTRACTING
Phone: (479) 204-8705

Specialties & Taxonomy Codes

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

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