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Organization

CENTRAL TEXAS INFECTIOUS DISEASE PA

Active
Other names
Chamalee N Weeratunge
Organization subpart
No

Provider details

NPI number
Authorized official
CHAMALEE N WEERATUNGE MD (PHYSICIAN/OWNER)
(210) 771-9147
Entity
Organization

Contact information

Practice address
598 N UNION AVE, STE.350, NEW BRAUNFELS, TX 78130-4136
(830) 625-5103
(512) 828-7984
Mailing address
PO BOX 1090, MANCHACA, TX 78652-1090
(210) 771-9147
(512) 828-7984

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
M3110
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0093NS
BCBS
TX
05
182468201
TX
01
M3110
TX LICENSE
01
P00356308
RR MEDICARE
Enumeration date
11/21/2008
Last updated
01/08/2009
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