My primary physician recommended Dr. Paniagua to evaluate my concerns of shortness of breath & mild chest pains. Various tests were followed by a Diagnostic Cardiac Catheterization to rule out coronary artery disease which was performed at the Heart hospital in Tyler. I could not be more pleased with the Doctor, his amazing staff or the incredible hospital. The procedure was done on schedule & without complications. Dr. Paniagua has the unique ability to converse in laymen’s terms. I highly recommend the Doctor who is support by an incredible staff & state-of-the-art hospital.