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Organization
HERITAGE PARKWAY MEDICAL PLLC
Active
Organization
HERITAGE PARKWAY MEDICAL PLLC
Active
Other names
Diverse Care
Organization subpart
No
Provider details
NPI number
Authorized official
NIDISH JOSE AGNP (CEO)
(903) 308-4336
Entity
Organization
Contact information
Practice address
3415 NORTH HERITAGE PARKWAY, SHERMAN, TX 75092-6634
(903) 308-4336
(214) 305-9078
Mailing address
2410 LUNA RD STE 202, CARROLLTON, TX 75006-6538
(903) 308-4336
(903) 771-4541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
07/08/2026
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