Mavis Sam
Nurse Practitioner · Dallas, TX
UnclaimedNPI 1215832043
- Primary taxonomy
- 363LA2200X
- Enumerated
- 2026-10-12
- Practice location
- Dallas, TX
- Last NPPES update
- 2026-10-12
State licenses
- CT · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.