# SUPPORTIVE CARE OF TEXAS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174247126
- **Authorized official:** ROBERT GLENN (DIRECTOR)
- **Authorized official phone:** (718) 298-4375

## Contact information

- **Practice address:** 505 W CENTERVILLE RD, GARLAND, TX 75041-5445
- **Practice address phone:** (718) 298-2753
- **Mailing address:** 27 RANDOLPH RD, HOWELL, NJ 07731-8611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 09/11/2025