Organization Active NPI

Dr. Diagne Premier OB GYN PA

  • Obstetrics & Gynecology Physician
  • Edinburg, TX
National Provider Identifier
1487074050
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DR. DIAGNE PREMIER OB GYN PA
Practice address
4422 S McColl Rd
Edinburg, TX 78539-9608
Phone
(956) 800-4378
Fax
(956) 800-4379
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Suehaynee Cavazos
Title
Billing Credentialing Ofiicer
Phone
(956) 205-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4422 S McColl Rd
Edinburg, TX 78539-9608

Mailing address

PO Box 3217
McAllen, TX 78502-3217
Phone (956) 800-4378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140902001717 TX Part B Supplier - Clinic/Group Practice 1456579507 Receives reassigned benefits from 5 practitioners
Practice locations: Edinburg, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2080228Dr Diagne Premier OB/GYN4422 S McColl Road, Edinburg, TX 78539Provider-performed microscopyJul 1, 2028

National Provider Directory

National Provider Directory

Locations

107 S Gardner St
Falfurrias, TX 78355
Phone (361) 325-2195

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1487074050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3217",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023217",
            "telephone_number": "956-800-4378",
            "fax_number": "956-800-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399608",
            "telephone_number": "956-800-4378",
            "fax_number": "956-800-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DIAGNE PREMIER OB GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "SUEHAYNEE",
        "authorized_official_title_or_position": "BILLING CREDENTIALING OFIICER",
        "authorized_official_telephone_number": "956-205-3630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.