# DR. KISH MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mind Body Spirit - DPC, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841145083
- **Authorized official:** DR. KISH CARLTON MD (PHYSICIAN)
- **Authorized official phone:** (903) 841-3052

## Contact information

- **Practice address:** 108 N TRINITY ST, GILMER, TX 75644-2234
- **Practice address phone:** (903) 841-3052
- **Mailing address:** 5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2026
- **Last updated:** 03/03/2026