Wal-Mart Stores Texas, LLC

NPI #1972843183 in Helotes, Texas

Provider Information

NPI Number: 1972843183
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 25, 2013
Last Updated: Feb 25, 2013

Practice Location

Address: 12550 LESLIE RD
City: Helotes
State: Texas
ZIP Code: 78023
Phone: (210) 507-4984

Authorized Official

Name: AMY POWERS
Title: SPECIALIST, PLAN ENROLLMENT
Phone: (479) 204-0709

Specialties & Taxonomy Codes

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

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