Wal-Mart Stores Texas, LLC

NPI #1952765703 in Princeton, Texas

Provider Information

NPI Number: 1952765703
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: Apr 7, 2016
Last Updated: Apr 7, 2016

Practice Location

Address: 701 W PRINCETON DR
City: Princeton
State: Texas
ZIP Code: 75407-9002
Phone: (972) 736-6866

Authorized Official

Name: SHANNON FARMER
Title: ENROLLMENT SPECIALIST
Phone: (479) 277-1242

Specialties & Taxonomy Codes

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

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