Provider Demographics
NPI:1780853630
Name:SHAW, LEORNORA OLYMPHIA WILLIAMS (MD)
Entity Type:Individual
Prefix:MS
First Name:LEORNORA
Middle Name:OLYMPHIA WILLIAMS
Last Name:SHAW
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 734812
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-4812
Mailing Address - Country:US
Mailing Address - Phone:210-358-9500
Mailing Address - Fax:210-358-9183
Practice Address - Street 1:7902 S FLORES ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-2416
Practice Address - Country:US
Practice Address - Phone:210-358-8255
Practice Address - Fax:210-644-8125
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2020-12-10
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Provider Licenses
StateLicense IDTaxonomies
TXL9904207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology