SearchTexas207VG0400X

Susan Crockett, M.D

NPI 1821169228 · on the registry since 2006

Practice

Address
12500 Judson Rd Ste 210
Live Oak, TX 78233
Phone
(210) 878-0090
Organisation at this address
Virtuosa, Pllc
Sports Medicine Associates Of San Antonio, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
207VG0400X
207VG0400X
Also registered as
207V00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas