| 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: Medicare Enrolled 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 | |
Dr. Jacob Carlson, MD Surgery Medicare: Medicare Enrolled Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-416-8080 | |
Dr. Grant Alexander Bond, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-416-8080 | |
Miral Sapan Amin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7415 Las Colinas Blvd, Southlake, TX 76092 Phone: 248-760-3339 Fax: 248-760-3339 | |
Brooks Brenden Kelly, MD Surgery Medicare: Medicare Enrolled Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-809-3155 |