Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Ann Crockett, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1821169228

Susan Ann Crockett, MD is an Obstetrics/Gynecology in Live Oak, Texas. Qualified in 1991, 35 years ago. Practices with Virtuosa PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
35
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12500 Judson Rd Ste 210
Live Oak, TX 78233-4146
Phone: (210) 878-0090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence J7770 (TX)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence J7770 (TX)

Record details

NPI number1821169228
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Virtuosa Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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