Wal-Mart Stores Texas LLC

NPI #1922429836 in Manor, Texas

Provider Information

NPI Number: 1922429836
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: Dec 18, 2013
Last Updated: Jan 21, 2014

Practice Location

Address: 11923 US HWY 290 E
City: Manor
State: Texas
ZIP Code: 78653
Phone: (479) 204-8705

Authorized Official

Name: LAURA LEVINE
Title: DIRECTOR GOVERNMENT CONTRACTACTING
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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