Organization
M TERESA VIVES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINDY K TURNER (BUSSINESS OFFICE MANAGER)
(985) 898-2001
Entity
Organization
Contact information
Practice address
185 GREENBRIAR BLVD, COVINGTON, LA 70433-7234
(985) 898-2001
(985) 898-2010
Mailing address
1437 AMELIA ST, NEW ORLEANS, LA 70115-3623
(504) 899-4005
(504) 899-4993
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10138R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1431818
—
LA
Enumeration date
08/18/2009
Last updated
08/18/2009
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