Individual
KATHLEEN GROVE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 W MAPLE ST, CELINA, TX 75009-6122
(214) 385-1765
Mailing address
515 W MAYFIELD RD STE 301, ARLINGTON, TX 76014-2085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA17792
TX
363AS0400X
Surgical Physician Assistant
Primary
PA17792
TX
Other
Enumeration date
02/28/2024
Last updated
10/09/2025
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