Provider Demographics
NPI:1124482575
Name:SHURE, ANNA KATHRYN (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:KATHRYN
Last Name:SHURE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8715 VILLAGE DR STE 320
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5407
Mailing Address - Country:US
Mailing Address - Phone:210-455-0167
Mailing Address - Fax:210-455-0169
Practice Address - Street 1:8715 VILLAGE DR STE 320
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5407
Practice Address - Country:US
Practice Address - Phone:210-455-0167
Practice Address - Fax:210-455-0169
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT92472085R0202X, 390200000X
WA390200000X
TXBP1002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program