Organization
VIRTUOSA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN A CROCKETT M.D. (OWNER)
(210) 878-0090
Entity
Organization
Contact information
Practice address
12500 JUDSON RD STE 210, LIVE OAK, TX 78233-4146
(210) 878-0090
(210) 878-0037
Mailing address
12500 JUDSON RD STE 210, LIVE OAK, TX 78233-4146
(210) 878-0090
(210) 878-0037
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
04/22/2025
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