MEDICARE: VIVERAE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1800X	Corporate Health Clinic/Center

General Provider Information

NPI Number	:	1275861841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVERAE, INC.

Provider Business Mailing Address
First Line	:	10670 N CENTRAL EXPY
Second Line	:	SUITE 700
City	:	DALLAS
State	:	TX
Zip	:	75231-2111
Country	:	US
Telephone Number	:	214-827-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	10670 N CENTRAL EXPY
Second Line	:	SUITE 700
City	:	DALLAS
State	:	TX
Zip	:	75231-2111
Country	:	US
Telephone Number	:	214-827-4400
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. SCOTT THOMPSON
Credential	:
Telephone Number	:	214-827-4400

Provider Enumeration Date	:	11/19/2009
Last Update Date	:	11/19/2009

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Directions to “VIVERAE, INC. ” Practice Location

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