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Cornelia S Deriese MD PA

NPI 1053789990ActiveOrganization· Obstetrics & Gynecology· Lubbock, TX

Obstetrics & Gynecology in Lubbock, Texas, registered in NPPES in September 2015. The authorized official on file is Cornelia S. Deriese, MD PA, Owner.

Overview

NPI1053789990
StatusActive
Entity typeOrganization
NPI issuedSep 9, 2015
Last updated in NPPESSep 9, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Obstetrics & Gynecology Primary207V00000XL6348TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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