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

Mukosolu Egwim

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124962253

Mukosolu Egwim is a Nurse Practitioner in Katy, Texas. Qualified in 2025, 1 year ago. Practices with Balanced Wellbeing Nationwide PA, a 20-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2026

Practice location Address checks out

4415 Upland Stream Ln
Katy, TX 77493-3871
Phone: (512) 720-9855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 70107389 (TX)

Record details

NPI number1124962253
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2026
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Balanced Wellbeing Nationwide Pa — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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