JOEL MICAH SUPPLE CSFA CST NPI 1891363321

NPI Information

  • NPI: 1891363321
  • Provider Name: JOEL MICAH SUPPLE, CSFA, CST
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • Address: 809 SILVERTON ST
    SOUTHLAKE, TX
    ZIP 76092
  • Phone: (214) 227-2457

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NPI Details

Joel Micah Supple, CSFA, CST is a surgery in Southlake, TX. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Joel Micah Supple, CSFA, CST NPI is 1891363321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

809 SILVERTON ST
SOUTHLAKE, TX
ZIP 76092-854
Phone: (214) 227-2457
Fax: (214) 764-0880

The enumeration date for this NPI number is 6/11/2021 and was last updated on 7/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery202123TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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