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Organization

THE SUPPLE TOUCH SURGICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL MICAH SUPPLE CSFA (CSFA)
(817) 454-0944
Entity
Organization

Contact information

Practice address
809 SILVERTON ST, SOUTHLAKE, TX 76092-3854
(817) 454-0944
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
(214) 764-0880

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
06/04/2024
Last updated
12/20/2025
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