Individual provider · Type 1 NPI
Susan Ann Crockett, MD
Gynecology Physician · Live Oak, TX
NPI number
1821169228
Active
Practice location
12500 Judson Rd Ste 210
Live Oak, TX 78233-4146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J7770 (TX) |
| Gynecology Physician Primary | 207VG0400X | J7770 (TX) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
3 other providers at this address
About NPI 1821169228
Susan Ann Crockett, MD's National Provider Identifier is 1821169228, issued on Nov 10, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Live Oak, TX. The record was last updated on Feb 2, 2026.