Heritage Parkway Medical PLLC
NPI 1770140550 · Family Medicine Physician · Sherman, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1770140550
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nidish Jose, Ceo(469) 844-7072
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Diverse Care
Additional practice locations (4)
- 658 S Trade Days BlvdCanton, TX 75103-1826Phone: (903) 213-2099Fax: (214) 305-9078
- 2410 Luna Rd Ste 204Carrollton, TX 75006-6538Phone: (214) 592-1854Fax: (214) 305-9078
- 2709 Cimarron Blvd Ste 100Corpus Christi, TX 78414-3431Phone: (361) 208-7276Fax: (214) 305-9078
- 7550 W Interstate 10 Ste 800-189San Antonio, TX 78229-5803Phone: (214) 592-1854Fax: (214) 305-9078
Registry dates
- Enumerated
- 2019-05-28
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.