Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joel Micah Supple, CSFA, CST

Individual provider Surgical Assistant · NPI 1891363321

Joel Micah Supple, CSFA, CST is a Surgical Assistant in Southlake, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

809 Silverton St
Southlake, TX 76092-3854
Phone: (214) 227-2457
Fax: (214) 764-0880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 202123 (TX)

Record details

NPI number1891363321
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA , CST
Sole proprietorYes
NPI enumeratedJune 11, 2021
Last updated in NPPESDecember 20, 2025
Certification dateDecember 20, 2025
Mailing addressPo Box 938, Rowlett, TX 75030-0938

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