WAL-MART STORES TEXAS, LLC; NPI #1104352459

Contact Information

WAL-MART STORES TEXAS, LLC

24403 IH 10W
GRAND PRAIRIE, TX 75052

Phone: 479-277-1242
Fax: 479-277-4331
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Eyewear Supplier	332H00000X	87	All Other Suppliers
Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for WAL-MART STORES TEXAS, LLC

NPI #	`1104352459`
LBN Legal business name	WAL-MART STORES TEXAS, LLC
Authorized official	KYLEE FISHER - (MANAGER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	05/05/2017
Last updated	05/05/2017 - About 9 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WAL-MART STORES TEXAS, LLC

Contact Information

Specialty

Eyewear Supplier

Optician

NPI Profile & details for WAL-MART STORES TEXAS, LLC

Reviews for WAL-MART STORES TEXAS, LLC