Search › Texas › 101YM0800X
Kenneth Carlisle
NPI 1306738901 · on the registry since 2025 · sole proprietor
Practice
- Address
- 5201 Mccart Ave Ste H
Fort Worth, TX 76115 - Phone
- (817) 761-7692
- Organisation at this address
- Medmark Treatment Centers Of Texas, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2025-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas