Angel Enrique Martinez Penton, | |
5330 Fry Rd Ste C, Katy, TX 77449-6921 | |
(832) 810-5060 | |
(832) 810-5080 |
Full Name | Angel Enrique Martinez Penton |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 5330 Fry Rd Ste C, Katy, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447978127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1090012 (Texas) | Primary |
Entity Name | Marrod Healthcare Provider Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467230441 PECOS PAC ID: 3577918481 Enrollment ID: O20231012003140 |
Mailing Address | Practice Location Address |
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Angel Enrique Martinez Penton, 25914 Sundrop Meadows Ln, Katy, TX 77494-3171 Ph: (832) 407-6082 | Angel Enrique Martinez Penton, 5330 Fry Rd Ste C, Katy, TX 77449-6921 Ph: (832) 810-5060 |
Mrs. Bolanle Adetutu Toriola, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Park Grove Dr, Katy, TX 77450 Phone: 409-266-1888 | |
Justin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23900 Katy Fwy, Katy, TX 77494 Phone: 281-644-7000 | |
Mrs. Patricia A Mcdaniel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1313 N Fry Rd, Katy, TX 77449 Phone: 281-829-3618 Fax: 281-829-9326 | |
Mrs. Cassandra Chidimma Eneremadu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1463 S Mason Rd, Katy, TX 77450 Phone: 305-266-2929 Fax: 915-533-8055 | |
Mr. Francis Tunji Awopegba, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19318 Cypress Arbor Ct, Katy, TX 77449 Phone: 414-510-3804 | |
Pasaka Ramogi Gwan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 S Fry Rd, Katy, TX 77450 Phone: 281-599-5700 | |
Alicia Sherray Myles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22003 Whitford Ct, Katy, TX 77450 Phone: 832-757-6001 |