| Walmart Health | |
|
3820 State Highway 64 W Tyler TX 75704-6924 | |
| (903) 594-4761 | |
| (903) 526-0280 |
| Full Name | Walmart Health |
|---|---|
| Speciality | General Practice |
| Location | 3820 State Highway 64 W, Tyler, Texas |
| Authorized Official Name and Position | Richard Henry (ENROLLMENT MANAGER) |
| Authorized Official Contact | 4792582080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walmart Health 702 Sw 8th St Bentonville AR 72716-0445 Ph: (479) 258-2080 | Walmart Health 3820 State Highway 64 W Tyler TX 75704-6924 Ph: (903) 594-4761 |
| NPI Number | 1326455577 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326455577 | NPI | - | NPPES |
| 358648ZHTM | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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