Provider Demographics
NPI:1275808529
Name:MANSFIELD, JAMES NORMAN IV (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:NORMAN
Last Name:MANSFIELD
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 PRAIRIE HEN CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-3544
Mailing Address - Country:US
Mailing Address - Phone:504-450-2231
Mailing Address - Fax:
Practice Address - Street 1:3800 HOUMA BLVD
Practice Address - Street 2:STE. 325
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4182
Practice Address - Country:US
Practice Address - Phone:504-888-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.207391207R00000X
TXU6010207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine