Organization
MCGRIM HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEARL EZEGRIM PMHNP-BC (AUTHORIZED OFFICIAL)
(424) 622-8428
Entity
Organization
Contact information
Practice address
743 BRICK ROW DR APT 1224, RICHARDSON, TX 75081-4980
(847) 693-6582
Mailing address
743 BRICK ROW DR APT 1224, RICHARDSON, TX 75081-4980
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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