NPI 1578923868
Wal-Mart Stores Texas, LLC
Practice location
- Address
- 3440 S. Bryant Blvd, San Angelo, TX 76903
- Phone
- (325) 276-6598
- Fax
- (325) 276-6597
- Mailing address
- 702 SW 8th St Mailstop 0445, Bentonville, AR 72716-0445
Authorised official
- Name
- Laura Levine
- Title
- Dir Healthcare Contract&enrolment
- Phone
- (479) 204-8550
Registered specialties (2)
Eyewear Supplier
Primary
Registry record
- NPI
- 1578923868
- Entity type
- Organization
- NPI issued
- 29 Feb 2016
- Record last updated
- 11 May 2016
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.