Wal-Mart Stores Texas, LLC

NPI #1982098471 in Temple, Texas

Provider Information

NPI Number: 1982098471
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: Mar 24, 2015
Last Updated: Mar 24, 2015

Practice Location

Address: 6801 W ADAMS AVENUE
City: Temple
State: Texas
ZIP Code: 76502
Phone: (254) 598-7596

Authorized Official

Name: LAURA LEVINE
Title: DIRECTOR, HEALTHCARE CONTRACTING AN
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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Wal-Mart Stores Texas, LP	Eyewear Supplier	Temple	AI Deep Dive

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