Wal-Mart Stores Texas LLC

Practice location

Address

2650 S Hwy 161, Grand Prairie, TX 75052

Phone

(469) 805-6330

Fax

(469) 805-6328

Mailing address

702 SW 8th St Mailstop 0445, Bentonville, AR 72716-0445

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 853-0515

Registered specialties (3)

Registry record

NPI

1003347261

Entity type

Organization

NPI issued

21 Mar 2017

Record last updated

12 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.