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NPI Code Detail

MEDICARE: DR. DIAGNE PREMIER OB GYN PA

MEDICARE: DR. DIAGNE PREMIER OB GYN PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1487074050
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. DIAGNE PREMIER OB GYN PA
Provider Business Mailing Address
First Line : PO BOX 3217
Second Line :
City : MCALLEN
State : TX
Zip : 78502-3217
Country : US
Telephone Number : 956-800-4378
Fax Number : 956-800-4379
Provider Business Practice Location Address
First Line : 4422 S MCCOLL RD
Second Line :
City : EDINBURG
State : TX
Zip : 78539-9608
Country : US
Telephone Number : 956-800-4378
Fax Number : 956-800-4379
Authorized Official
Title or Position : BILLING CREDENTIALING OFIICER
Name : MRS. SUEHAYNEE CAVAZOS
Credential :
Telephone Number : 956-205-3630
Provider Enumeration Date : 04/23/2014
Last Update Date : 04/28/2026

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Directions to “DR. DIAGNE PREMIER OB GYN PA ” Practice Location

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