Individual
SUSAN ANN CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12500 JUDSON RD STE 210, LIVE OAK, TX 78233-4146
(210) 878-0090
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
J7770
TX
207VG0400X
Gynecology Physician
Primary
J7770
TX
Other
Enumeration date
11/10/2006
Last updated
02/02/2026
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