Individual ProviderJoseph Herman SampleInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339(972) 758-6000PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Herman Sample 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 2 days ago.Profile DetailsProvider ID1881709376Provider TypeIndividualFull NameSample, Joseph HermanTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/21/2006Last Updated5/20/2011Contact InformationPractice LocationPractice Address4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339Phone(972) 758-6000Fax(972) 758-6001Mailing LocationMailing Address4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339Phone(972) 758-6000Fax(972) 758-6001Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseD4294TexasProvider IdentifiersIDDescriptionIssuerID83X012DescriptionOtherIssuerBCBSTexas