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 STORE TEXAS, LP

MEDICARE: WAL-MART STORE TEXAS, LP
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 : 1215036538
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAL-MART STORE TEXAS, LP
Provider Business Mailing Address
First Line : 702 SW 8TH ST.
Second Line :
City : BENTONVILLE
State : AR
Zip : 72716-0235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3506 HIGHWAY 6 S
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4204
Country : US
Telephone Number : 281-561-0866
Fax Number :
Authorized Official
Title or Position : NPI COORDINATOR
Name : NICOLE D GENTILE
Credential :
Telephone Number : 316-788-5580
Provider Enumeration Date : 09/22/2006
Last Update Date : 05/13/2025

Similar Medicare Providers

1386661528 — WAL-MART STORES TEXAS LLC
Practice Location Address:
3506 HIGHWAY 6 S
HOUSTON, TX
77082-4204
Practice Phone: 281-561-0846
Practice Fax:
1659663292 — EYEDENTITY, P.A.
Practice Location Address:
3506 HIGHWAY 6 S
HOUSTON, TX
77082-4204
Practice Phone: 713-526-1718
Practice Fax: 713-526-3137
1164791133 — DR. SANOBER FATIMA SIDDIQUI O.D.
Practice Location Address:
3506 HIGHWAY 6 S
HOUSTON, TX
77082-4204
Practice Phone: 281-759-2020
Practice Fax:
1366042707 — ANHTUAN THIEN TRAN
Practice Location Address:
3506 HIGHWAY 6 S
HOUSTON, TX
77082-4204
Practice Phone: 281-561-0846
Practice Fax: 281-561-0849
1306446745 — BUSHRA AFREEN MAMUN
Practice Location Address:
3506 HIGHWAY 6 S
HOUSTON, TX
77082-4204
Practice Phone: 281-561-0846
Practice Fax:
1235739475 — MIENG TIEU
Practice Location Address:
3506 HIGHWAY 6 S
HOUSTON, TX
77082-4204
Practice Phone: 281-561-0846
Practice Fax:

Directions to “WAL-MART STORE TEXAS, LP ” 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.