NPI 1053789990

Cornelia S Deriese MD PA

Organisation Obstetrics & Gynecology Physician Lubbock, TX

Practice location

Address: 3814 24th St, Lubbock, TX 79410-1814
Phone: (806) 553-7950
Fax: (623) 777-4593
Mailing address: 2708 27th St, Lubbock, TX 79410-2229

Authorised official

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

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence L6348 (TX)

Other Obstetrics & Gynecology providers in Texas →

Registry record

NPI: 1053789990
Entity type: Organization
NPI issued: 9 Sep 2015
Record last updated: 9 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.