Healthcare Provider Details
I. General information
NPI: 1790559466
Provider Name (Legal Business Name): SAPPHIRE HEALTH & REHABILITATION, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2023
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3600 S LOOP 340
ROBINSON TX
76706-4828
US
IV. Provider business mailing address
6500 VIRGINIA SQ
ARLINGTON TX
76017-4947
US
V. Phone/Fax
- Phone: 214-970-6817
- Fax:
- Phone: 817-996-9720
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DOMINIQUE
CHRISTIANA
VAN BEEST
Title or Position: PRESIDENT
Credential: MD
Phone: 214-970-6817