Individual provider · Type 1 NPI

Kathleen Grove Underwood

Surgical Physician Assistant · Celina, TX

NPI number 1811754633 Active

Practice location

512 W Maple St
Celina, TX 75009-6122

Mailing address

515 W Mayfield Rd Ste 301
Arlington, TX 76014-2085

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA17792 (TX)
Physician Assistant 363A00000XPA17792 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1811754633

Kathleen Grove Underwood's National Provider Identifier is 1811754633, issued on Feb 28, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Celina, TX. The record was last updated on Oct 9, 2025.