DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WAL-MART STORES, TEXAS, LLC

MEDICARE: WAL-MART STORES, TEXAS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician
2332H00000XEyewear Supplier

General Provider Information

NPI Number : 1750464368
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAL-MART STORES, TEXAS, LLC
Provider Business Mailing Address
First Line : 702 SW 8TH ST
Second Line :
City : BENTONVILLE
State : AR
Zip : 72716-0445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 CLIFFORD ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4403
Country : US
Telephone Number : 817-367-0042
Fax Number :
Authorized Official
Title or Position : MGR GOV CONTRACTING
Name : LAURA LEVINE
Credential :
Telephone Number : 479-204-8550
Provider Enumeration Date : 10/24/2006
Last Update Date : 06/06/2013

Similar Medicare Providers

1962420729 — WAL-MART STORES TEXAS LLC
Practice Location Address:
9500 CLIFFORD ST
FORT WORTH, TX
76108-4403
Practice Phone: 817-367-0818
Practice Fax:
1538472683 — TUANH PHAN LA O.D.
Practice Location Address:
9500 CLIFFORD ST
FORT WORTH, TX
76108-4403
Practice Phone: 817-367-7100
Practice Fax: 817-367-7102
1134412190 — DR. GENE WONG & ASSOCIATES, P.A.
Practice Location Address:
9500 CLIFFORD ST
FORT WORTH, TX
76108-4403
Practice Phone: 817-367-7100
Practice Fax:
1528338472 — ADVANCED EYE CARE OF TEXAS PLLC
Practice Location Address:
9500 CLIFFORD ST
FORT WORTH, TX
76108-4403
Practice Phone: 817-367-7100
Practice Fax: 817-367-7102
1265914717 — KATIE MICHELLE WASHBURN PHARMD
Practice Location Address:
9500 CLIFFORD ST
FORT WORTH, TX
76108-4403
Practice Phone: 817-367-0818
Practice Fax:
1033693981 — SOPHIA LA OD
Practice Location Address:
9500 CLIFFORD ST
FORT WORTH, TX
76108-4403
Practice Phone: 817-367-7100
Practice Fax:

Directions to “WAL-MART STORES, TEXAS, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.