Individual
MUKOSOLU EGWIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4415 UPLAND STREAM LN, KATY, TX 77493-3871
(512) 720-9855
Mailing address
4415 UPLAND STREAM LN, KATY, TX 77493-3871
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
70107389
TX
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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