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Cornelia S Deriese MD PA

Obstetrics & Gynecology Physician in Lubbock, TX · enumerated 2015 · authorized official Cornelia Deriese, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053789990

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Registry record

Entity type Organization (Type 2)
Legal business name Cornelia S Deriese MD PA
Practice address 3814 24th St, Lubbock, TX, 79410
Phone (806) 553-7950
Fax (623) 777-4593
Enumeration date Sep 9, 2015
Last updated in NPPES Sep 9, 2015

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License L6348 (TX) Primary

Authorized official

Name Cornelia Deriese
Title Owner
Phone (888) 753-5988

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Cornelia S Deriese MD PA?
The NPI for Cornelia S Deriese MD PA is 1053789990, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Cornelia S Deriese MD PA?
NPPES lists Cornelia Deriese (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-09.