| NPI | 1285041434 |
|---|---|
| Other Name | WALMART CARE CLINIC 10-1153 |
| Entity Type | Organization |
| Authorized Contact | SOUJANYA PULLURU President 479-703-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2021-12-07 |