Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cornelia S Deriese MD PA

Organization Obstetrics & Gynecology Physician · NPI 1053789990

Cornelia S Deriese MD PA is an Obstetrics & Gynecology Physician in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3814 24th St
Lubbock, TX 79410-1814
Phone: (806) 553-7950
Fax: (623) 777-4593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence L6348 (TX)

Record details

NPI number1053789990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cornelia Deriese — Owner · (888) 753-5988
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 9, 2015
Mailing address2708 27th St, Lubbock, TX 79410-2229

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