NPI age
10 years
Enumerated 2015-09-09
● Active Type 2 · Organization
Cornelia S Deriese MD PA
Cornelia S Deriese MD PA is 1 of 4633 obstetrics & gynecology organizations in Texas.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Deriese
Owner
Last NPPES update
2015-09-09
Source: monthly bulk 2026-05
How this organization compares
Across 4633 active obstetrics & gynecology providers in Texas.
NPI age
10 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-09Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
3814 24th St
Lubbock, TX 794101814
Mailing address
2708 27th St
Lubbock, TX 794102229
Authorized official
Cornelia S Deriese, MD PA
Owner
📞 8887535988
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Caroline Jones, APRN, CNM Advanced Practice Midwife NPI 1457124224
Specialties
-
Obstetrics & Gynecology PrimaryAn 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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.