Wal-Mart Stores Texas, LLC

NPI #1962566919 in Quinlan, Texas

Provider Information

NPI Number: 1962566919
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 21, 2006
Last Updated: Jun 26, 2013

Practice Location

Address: 8801 HIGHWAY 34 S
City: Quinlan
State: Texas
ZIP Code: 75474-9434
Phone: (903) 356-1017

Authorized Official

Name: LAURA LEVINE
Title: MGR 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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