Organization Active NPI

Marrod Healthcare Provider, LLC.

  • Primary Care Clinic/Center
  • Katy, TX
National Provider Identifier
1467230441
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MARROD HEALTHCARE PROVIDER, LLC.
Doing business as
Angel Family Clinic
Practice address
5330 Fry Rd Ste C
Katy, TX 77449-6921
Phone
(832) 810-5060
Fax
(832) 810-5080
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angel Enrique Martinez Penton, FNP-CNPI 1447978127
Title
Owner
Phone
(832) 810-5060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

5330 Fry Rd Ste C
Katy, TX 77449-6921

Mailing address

25914 Sundrop Meadows LN
Katy, TX 77494-3171

Other names 1

  • Angel Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231012003140 TX Part B Supplier - Clinic/Group Practice 3577918481 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2291632Angel Family Clinic5330 North Fry Rd, Katy, TX 77449Certificate of waiverOct 12, 2027

National Provider Directory

National Provider Directory

Locations

5330 Fry Rd
Ste C
Katy, TX 77449
Phone (281) 656-8323

5330 Fry Rd
Katy, TX 77449

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1467230441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25914 SUNDROP MEADOWS LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 FRY RD STE C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496921",
            "telephone_number": "832-810-5060",
            "fax_number": "832-810-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARROD HEALTHCARE PROVIDER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ PENTON",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-810-5060",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Angel Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.