Provider Demographics
NPI:1356130736
Name:PANAGA, PAUL ANGELO (PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ANGELO
Last Name:PANAGA
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7513 FOXGLOVE WAY
Mailing Address - Street 2:
Mailing Address - City:VENUS
Mailing Address - State:TX
Mailing Address - Zip Code:76084-3995
Mailing Address - Country:US
Mailing Address - Phone:214-940-6504
Mailing Address - Fax:
Practice Address - Street 1:7000 HIGHWAY 287
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-2805
Practice Address - Country:US
Practice Address - Phone:817-662-6341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1196482363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health