Healthcare Provider Details

I. General information

NPI: 1114313012
Provider Name (Legal Business Name): ELLIOTT MICHAEL WELFORD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7940 FLOYD CURL DR STE 560
SAN ANTONIO TX
78229-3907
US

IV. Provider business mailing address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-8100
  • Fax:
Mailing address:
  • Phone: 513-584-4505
  • Fax: 513-584-0478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57.026988
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35132869
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberV7861
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: