WAL-MART STORES TEXAS, LLC
NPI: 1275945891
· CARROLLTON, TX 75006
· Nurse Practitioner
· NPI assigned 06/02/2014
$718.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, LAURA (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Parent Organization | WAL-MART STORES, INC. |
| NPI Enumeration Date | 06/02/2014 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
16 |
$718.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
16 |
16 |
$718.00 |