NPI Provider: 1467533810
Contact Name: Epperson M. Linda
Position: NPI Coordinator
Phone: (316) 788-5580
Wal-mart Stores Texas, Lp Information:
Wal-mart Stores Texas, Lp organization have npi 1467533810, taxonomy code is 156FX1800X with license number is in . This Business address located in 702 SW 8th Street, Bentonville, AR 72716 Arkansas.
Practice Location
Address: 6801 S Broadway Ave, Tyler, TX 75703
Phone: (903) 581-4296
Business Location
Address: 702 SW 8th Street, Bentonville, AR 72716
Taxonomy
Taxonomy Code: 156FX1800X
License Number:
License Number of State:
Primary Taxonomy Switch: X
Enumeration Date: 10/18/2006
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