Christian Edward O Dyhianto (NPI# 1164688099, PAC ID# 9638221591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164688099 |
| PAC ID by PECOS | 9638221591 |
| Professional Enrollment ID | I20090723000595 |
| Full Name | Christian Edward O Dyhianto |
| Organization Legal Name | WESTWOOD PRIMARY CARE, PLLC |
| Address |
6912 Fm 1488 Rd A Magnolia TX 77354-1527 |
| Phone Number | 2813561945 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9638230121 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450184 | MEMORIAL HERMANN HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 | 2813561945 | WESTWOOD PRIMARY CARE, PLLC |
| Organization Legal Name | WESTWOOD PRIMARY CARE, PLLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen G Paz | Family Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Jessica N Glick | Family Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Kelci Evans | Physician Assistant | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Paola C Batista | Family Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Samantha Y Jih | Nurse Practitioner | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Caroline E Sizemore | Physician Assistant | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Patricia D Thompson | Internal Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Christine K Gavino | Family Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Alexandra C Borsboom | Nurse Practitioner | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Feras N Elhajj | Family Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Street Address |
6912 FM 1488 RD A |
| City | MAGNOLIA |
| State | TX |
| Zip | 77354-1527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen G Paz | Family Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Jessica N Glick | Family Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Kelci Evans | Physician Assistant | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Paola C Batista | Family Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Samantha Y Jih | Nurse Practitioner | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Caroline E Sizemore | Physician Assistant | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Patricia D Thompson | Internal Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Christine K Gavino | Family Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Alexandra C Borsboom | Nurse Practitioner | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Feras N Elhajj | Family Medicine | Westwood Primary Care, Pllc | 6912 Fm 1488 Rd A, Magnolia, TX 77354-1527 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy Yeet Yeon Jew | Optometry | 6519 Fm, 1488 Suite 503, Magnolia, TX 77354 | |
| Cerita Gaddi | Chiropractic | Ajmarshall, LLC | 6910 Fm 1488 Rd, Suite 3, Magnolia, TX 77354-1540 |
| Julie A Gonzalez | Chiropractic | Ajmarshall, LLC | 6910 Fm 1488 Rd, Suite 3, Magnolia, TX 77354-1540 |
| Charlsie Mitchell | Chiropractic | Ajmarshall, LLC | 6910 Fm 1488 Rd, Suite 3, Magnolia, TX 77354-1540 |
| Jamie M Marshall | Chiropractic | Ajmarshall, LLC | 6910 Fm 1488 Rd, Suite 3, Magnolia, TX 77354-1540 |
| Chelsea Kay Gillam | Chiropractic | Ajmarshall, LLC | 6910 Fm 1488 Rd, Suite 3, Magnolia, TX 77354-1540 |
| Lindsay A Mcqurter | Physician Assistant | Internal Medicine Diagnostic Center | 18550 N 6th St, Magnolia, TX 77354-1791 |
| Allison Rourke | Physical Therapy | Kingwood Physical Therapy Ltd | 6318 Fm 1488 Rd, Suite 150, Magnolia, TX 77354-2519 |
| Dean Teitelbaum | Physical Therapy | Kingwood Physical Therapy Ltd | 6318 Fm 1488 Rd, Suite 150, Magnolia, TX 77354-2519 |
| Jason T Barranco | Physical Therapy | Kingwood Physical Therapy Ltd | 6318 Fm 1488 Rd, Suite 150, Magnolia, TX 77354-2519 |
| Find all physicians in zip 77354 | |||
| City | MAGNOLIA |
| Zip Code | 77354 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MAGNOLIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Christian Edward O Dyhianto.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.