Individual
DR. LOUANNE WELLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8401 DATAPOINT DR., SUITE 500, SAN ANTONIO, TX 78229-5907
(210) 614-0180
(210) 615-7170
Mailing address
PO BOX 1221, SAN ANTONIO, TX 78294-1221
(210) 614-0180
(210) 615-7170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J3936
TX
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
J3936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131856006
—
TX
01
—
8C0457
BCBS
TX
Enumeration date
10/02/2006
Last updated
03/10/2011
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