| Vivere Healthcare and Wellness | |
|
3613 Williams Dr Ste 604 Georgetown TX 78628-1372 | |
| (512) 545-5591 | |
| Not Available |
| Full Name | Vivere Healthcare and Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 3613 Williams Dr Ste 604, Georgetown, Texas |
| Authorized Official Name and Position | Stacey Palmer (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 5125455591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivere Healthcare and Wellness 3613 Williams Dr Ste 604 Georgetown TX 78628-1372 Ph: (512) 545-5591 | Vivere Healthcare and Wellness 3613 Williams Dr Ste 604 Georgetown TX 78628-1372 Ph: (512) 545-5591 |
| NPI Number | 1447128061 |
|---|---|
| Provider Enumeration Date | 10/27/2025 |
| Last Update Date | 10/27/2025 |
| Certification Date | 10/26/2025 |
| Medicare PECOS PAC ID | 3678069234 |
|---|---|
| Medicare Enrollment ID | O20260102002074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447128061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Stacey Janelle Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407191554 PECOS PAC ID: 4981859113 Enrollment ID: I20130219000372 |
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