Individual ProviderMaurine SamPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(214) 456-5518PECOS EnrollmentBased on the most recent information from CMS, provider Maurine Sam does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:58 AM.Profile DetailsProvider ID1962142760Provider TypeIndividualFull NameSam, MaurineGenderFemaleSole ProprietorNoEnumeration Date3/30/2022Last Updated8/25/2025Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-5518FaxUnlisted FaxMailing LocationMailing Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-5518FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseV8385TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer