# M TERESA VIVES MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487886867
- **Authorized official:** MS. MINDY K TURNER (BUSSINESS OFFICE MANAGER)
- **Authorized official phone:** (985) 898-2001

## Contact information

- **Practice address:** 185 GREENBRIAR BLVD, COVINGTON, LA 70433-7234
- **Practice address phone:** (985) 898-2001
- **Practice address fax:** (985) 898-2010
- **Mailing address:** 1437 AMELIA ST, NEW ORLEANS, LA 70115-3623
- **Mailing address phone:** (504) 899-4005
- **Mailing address fax:** (504) 899-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 10138R | LA | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 08/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1431818 | — | LA |