WAL-MART STORES TEXAS LLC
NPI: 1932126117
· TEXARKANA, TX 75501
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
31 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
17 |
17 |
$0.00 |
| 0012A |
|
14 |
14 |
$0.00 |