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Organization
PREMIER WELLNESS CENTER PLLC
Active
Organization
PREMIER WELLNESS CENTER PLLC
Active
Parent organization
DR. DIAGNE PREMIER OB GYN PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. DIAGNE PREMIER OB GYN PA
Authorized official
DR. THIENDELLA DIAGNE MD (OWNER/ PHYSICIAN)
(956) 800-4378
Entity
Organization
Contact information
Practice address
4424 S MCCOLL RD, EDINBURG, TX 78539-9608
(956) 322-5292
(956) 322-8718
Mailing address
4424 S MCCOLL RD, EDINBURG, TX 78539-9608
(956) 322-5292
(956) 322-8718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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