CORNELIA S DERIESE MD PA
NPI 1053789990
Obstetrics & Gynecology in Lubbock, TX

Q: What is Cornelia S Deriese MD PA's NPI number?

The NPI number for Cornelia S Deriese MD PA is 1053789990. It was assigned to this organization in the NPPES registry on September 9, 2015.

Q: What is Cornelia S Deriese MD PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since September 09, 2015

3814 24TH ST, LUBBOCK, TX 79410(806) 553-7950(623) 777-4593 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cornelia S Deriese Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNELIA S DERIESE MD PA (NPI 1053789990) is a healthcare organization registered as an obstetrics & gynecology in Lubbock, Texas and active in the NPI registry since September 2015. The organization lists Cornelia S Deriese, Owner, as its authorized official.

NPPES Registry Identity

NPI1053789990

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameCORNELIA S DERIESE MD PA

Location Address3814 24TH STLubbock, TX 79410-1814

Mailing Address2708 27th StLubbock, TX 79410-2229 · (888) 753-5988 · Fax (623) 777-4593

Phone(806) 553-7950

Fax(623) 777-4593

Organization SubpartNo

Authorized OfficialCornelia S DerieseOwner · (888) 753-5988

Enumeration DateSeptember 9, 2015

✔ NPI 1053789990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · L6348

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3814 24TH ST, Lubbock, TX 79410

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWIFE COTTAGE, LLC

Clinic/Center (Birthing)