Individual
KUMARI K. WEERATUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 ANDOVER LN, LIVINGSTON, TX 77351-2685
(936) 327-8661
(936) 327-3131
Mailing address
204 W PARK, LIVINGSTON, TX 77351-9336
(936) 327-8661
(936) 327-3131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M9087
TX
2080A0000X
Pediatric Adolescent Medicine Physician
M9087
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193150303
—
TX
Enumeration date
03/10/2008
Last updated
04/09/2025
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