Joel Micah Supple, CSFA, CST
NPI #1891363321 in Southlake, Texas
Provider Information
- NPI Number
- 1891363321
- Entity Type
- Individual
- Name
- Joel Micah Supple, CSFA, CST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- CSFA, CST
- Enumeration Date
- Jun 11, 2021
- Last Updated
- Dec 20, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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