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Organization
DR. KISH MD, LLC
Active
Organization
DR. KISH MD, LLC
Active
Other names
Mind Body Spirit - DPC, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISH CARLTON MD (PHYSICIAN)
(903) 841-3052
Entity
Organization
Contact information
Practice address
108 N TRINITY ST, GILMER, TX 75644-2234
(903) 841-3052
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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