Individual
JAMES ROGER MANSHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 PAPPAS ST, LAREDO, TX 78041-1701
(956) 794-3000
(956) 794-3301
Mailing address
PO BOX 295, VAIL, AZ 85641-0295
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D6076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D6076
TEXAS MEDICAL BOARD
TX
Enumeration date
10/13/2006
Last updated
07/08/2007
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