Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taylor Ann Chishom, MDMPH

Individual provider Plastic Surgery Physician · NPI 1912520669

Taylor Ann Chishom, MDMPH is a Plastic Surgery Physician in Southlake, Texas. Licensed in California and Texas. Registered with an NPI since 2020.

Licensed in
CA, TX
In the registry since
2020
Specialties on file
2

Practice location Address checks out

415 E Southlake Blvd Ste 101
Southlake, TX 76092-6279
Phone: (972) 636-4902
Fax: (817) 421-8327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A185158 (CA)
Plastic Surgery Physician Taxonomy 208200000X · Licence W4780 (TX)

Record details

NPI number1912520669
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDMPH
Sole proprietorNo
NPI enumeratedMay 28, 2020
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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