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

Kooper Harrison Underwood

Individual provider Physician Assistant · NPI 1366039125

Kooper Harrison Underwood is a Physician Assistant in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Specialty Associates of West Houston PLLC, a 125-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

9250 N 3rd St Ste 1003
Phoenix, AZ 85020-2402
Phone: (214) 551-3684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17869 (TX)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1366039125
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 28, 2020
Last updated in NPPESJune 21, 2024
Certification dateJune 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Specialty Associates Of West Houston Pllc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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