Dr. Maryam Qayum, 68, served as the owner, operator, and sole prescriber at Recare Health Clinic. Between 2022 and 2025, when law enforcement shut down the facility, Qayum issued prescriptions for more than 3 million opioid pills. Sampson operated as a street-level dealer who brought patients to the clinic, filled prescriptions, and resold the drugs. Tomi-Ko Bowers, 71, a nurse practitioner at Recare from Cleveland, Texas, was sentenced to 96 months in prison in June 2026. The Drug Enforcement Administration and the Conroe Police Department conducted the investigation.