Provider Demographics
NPI:1740756790
Name:PACE, SAPPHIRE DELIGHT
Entity Type:Individual
Prefix:MRS
First Name:SAPPHIRE
Middle Name:DELIGHT
Last Name:PACE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SAPPHIRE
Other - Middle Name:DELIGHT
Other - Last Name:OKAFOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4348 W NORTHGATE DR APT 189
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2583
Mailing Address - Country:US
Mailing Address - Phone:936-648-5351
Mailing Address - Fax:
Practice Address - Street 1:14785 PRESTON RD STE 550
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7899
Practice Address - Country:US
Practice Address - Phone:185-582-4566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician