Individual provider Active NPI

Paul Effanga Effanga

  • Contractor
  • Allen, TX
National Provider Identifier
1477597821
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
010195 Issued in TX
Practice address
1609 Warm Springs Dr
Allen, TX 75002-1884
Phone
(214) 495-8398
Fax
(214) 509-9452
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 010195 TX Primary

Addresses

Primary practice location

1609 Warm Springs Dr
Allen, TX 75002-1884

Mailing address

1609 Warm Springs Dr
Allen, TX 75002-1884
Phone (214) 495-8398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010195TXMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Envital Healthcare Inc Current Accepting new patients
Padez Home Health Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477597821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 WARM SPRINGS DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021884",
            "telephone_number": "214-495-8398",
            "fax_number": "214-509-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 WARM SPRINGS DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021884",
            "telephone_number": "214-495-8398",
            "fax_number": "214-509-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFANGA",
        "first_name": "PAUL",
        "middle_name": "EFFANGA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "010195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.