Organization
SUPPORTIVE CARE OF TEXAS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GLENN (DIRECTOR)
(718) 298-4375
Entity
Organization
Contact information
Practice address
505 W CENTERVILLE RD, GARLAND, TX 75041-5445
(718) 298-2753
Mailing address
27 RANDOLPH RD, HOWELL, NJ 07731-8611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
09/11/2025
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