Wal-Mart Stores Texas, LLC

NPI #1992243471 in Anna, Texas

Provider Information

NPI Number: 1992243471
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 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 521 S. CENTRAL EXPRESS WAY
City: Anna
State: Texas
ZIP Code: 75409
Phone: (972) 924-3375

Authorized Official

Name: KYLEE FISHER
Title: MANAGER
Phone: (479) 204-1258

Specialties & Taxonomy Codes

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

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