NPI 1912520669

Taylor Ann Chishom, MDMPH

Practitioner Plastic Surgery Physician Southlake, TX

Practice location

Address: 415 E Southlake Blvd STE 101, Southlake, TX 76092-6279
Phone: (972) 636-4902
Fax: (817) 421-8327

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence A185158 (CA)

Other Plastic Surgery providers in Texas →

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence W4780 (TX)

Registry record

NPI: 1912520669
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2020
Record last updated: 22 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.