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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAVIS SAM
NPI 1215832043
Nurse Practitioner - Adult Health in Dallas, TX

Active since October 12, 2026
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244(855) 984-5121 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mavis Sam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAVIS SAM (NPI 1215832043) is an individual adult health provider in Dallas, Texas, licensed in Connecticut (16647) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1215832043
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMAVIS SAM
Location Address4055 VALLEY VIEW LN STE 700Dallas, TX 75244-5045
Mailing Address4055 Valley View Ln Ste 700Dallas, TX 75244-5045
Phone(855) 984-5121
Sole ProprietorNo
Enumeration DateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1215832043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 16647
4055 VALLEY VIEW LN STE 700, Dallas, TX 75244
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRIE MARGARET TOBIAS NP-C
Nurse Practitioner (Family)
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Dallas County (855) 984-5121
JESSICA DAWN LARGE FNP-C
Nurse Practitioner
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Dallas County (855) 984-5121
JOAN C GARAY ARNP
Nurse Practitioner (Family)
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Dallas County (855) 984-5121
CHINYERE J ETUFUGH
Nurse Practitioner (Family)
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Dallas County (855) 984-5121
TIFFANY ASHLEY SMITH
Nurse Practitioner (Family)
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Dallas County (855) 984-5121
THANH THANH NGUYEN
Nurse Practitioner
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Dallas County (877) 868-5351
DANIEL NGUYEN
Nurse Practitioner
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Dallas County (185) 598-4512
TIRLY JOSEPH
Nurse Practitioner (Family)
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Dallas County (469) 305-2752

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mavis Sam's NPI number?

The NPI number for Mavis Sam is 1215832043. It was assigned to this individual provider in the NPPES registry on October 12, 2026.

Where is Mavis Sam located?

Mavis Sam practices at 4055 Valley View Ln Ste 700, Dallas, TX 75244. The listed phone number is (855) 984-5121.

What is Mavis Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mavis Sam was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.