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

Maurine Sam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962142760

Maurine Sam is a Pediatric Medicine in Dallas, Texas. Qualified in 2022, 4 years ago. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (214) 456-5518
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence V8385 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962142760
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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