Organization · Type 2 NPI

Cornelia S Deriese MD PA

Obstetrics & Gynecology Physician · Lubbock, TX

NPI number 1053789990 Active

Practice location

3814 24th St
Lubbock, TX 79410-1814

Fax (623) 777-4593

Mailing address

2708 27th St
Lubbock, TX 79410-2229

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XL6348 (TX)

Obstetrics & Gynecology Physician: 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.

6 other providers at this address

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About NPI 1053789990

Cornelia S Deriese MD PA's National Provider Identifier is 1053789990, issued on Sep 9, 2015. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Lubbock, TX. The record was last updated on Sep 9, 2015.