Organization Name: | WAL-MART STORES TEXAS LLC |
NPI Number: | 1861895674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA LEVINE (DIR. HEALTCARE CONTRACTING) |
Mailing Address: | 6604 Boulevard 26 Richland Hills |
State: | TX US |
Postal Code: | 761801520 |
Phone Number: | 6827579067 |
Fax Number: | 6827579060 |
NPI Enumeration Date: | 10/07/2014 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |