MEDICARE: WAL-MART STORES 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
1	156FX1800X	Optician
2	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1245312214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAL-MART STORES TEXAS, LP

Provider Business Mailing Address
First Line	:	702 SW 8TH STREET
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72716-0235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 COCKRELL HILL RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-1315
Country	:	US
Telephone Number	:	214-330-7249
Fax Number	:

Authorized Official
Title or Position	:	NPI COORDINATOR
Name	:	LINDA M. EPPERSON
Credential	:
Telephone Number	:	316-788-5580

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1922025071 — WAL-MART STORES TEXAS LLC
Practice Location Address:

1521 N COCKRELL HILL RD
DALLAS, TX
75211-1315

Practice Phone: 214-337-8092
Practice Fax:

1275669046 — DR. ROSA TRAN O.D.
Practice Location Address:

1521 COCKRELL HILL RD
DALLAS, TX
75211-1315

Practice Phone: 214-337-0530
Practice Fax: 214-337-0530

1548487895 — 1ST SMILE DENTAL, P.A.
Practice Location Address:

1515 COCKRELL HILL RD , A111
DALLAS, TX
75211-1315

Practice Phone: 214-467-7727
Practice Fax: 214-467-7743

1023227667 — ENVISION 20-20 ASSOCIATION
Practice Location Address:

1521 COCKRELL HILL RD
DALLAS, TX
75211-1315

Practice Phone: 214-337-0530
Practice Fax:

1417107426 — WELLNESS CLINIC, P.A.
Practice Location Address:

1515 N COCKRELL HILL RD , STE 113
DALLAS, TX
75211-1315

Practice Phone: 214-339-9090
Practice Fax: 214-339-9023

1518294743 — CLINICA AMERICA, P.A.
Practice Location Address:

1515 N COCKRELL HILL RD , SUITE 113
DALLAS, TX
75211-1315

Practice Phone: 214-339-9090
Practice Fax: 214-339-9023

Directions to “WAL-MART STORES 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 © 2007-2025 (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.