| Joel Micah Supple, CSFA, CST | |
|
809 Silverton St, Southlake, TX 76092-3854 | |
| (214) 227-2457 | |
| (214) 764-0880 |
| Full Name | Joel Micah Supple |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 809 Silverton St, Southlake, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891363321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 202123 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Micah Supple, CSFA, CST Po Box 938, Rowlett, TX 75030-0938 Ph: (214) 227-2457 | Joel Micah Supple, CSFA, CST 809 Silverton St, Southlake, TX 76092-3854 Ph: (214) 227-2457 |
Dr. Robert W Sewell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092 Phone: 817-748-0200 Fax: 817-749-0204 | |
Edgar Bedolla, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 415 E Southlake Blvd Ste 202, Southlake, TX 76092 Phone: 817-416-8080 | |
Maria Valeria Simone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092 Phone: 817-748-0200 Fax: 817-749-0204 | |
Miral Sapan Amin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 630 E State Highway 114, Southlake, TX 76092 Phone: 248-760-3339 | |
Mr. Stephen J Troum, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 E Southlake Blvd Ste 120, Southlake, TX 76092 Phone: 817-335-4316 Fax: 817-338-0342 | |
Philip H Swanson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 E Southlake Blvd, Suite 10, Southlake, TX 76092 Phone: 817-424-2606 Fax: 817-424-2487 |