Individual
TAYLOR ANN CHISHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092-6279
(972) 636-4902
(817) 421-8327
Mailing address
415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092-6279
(972) 636-4902
(817) 421-8327
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A185158
CA
208200000X
Plastic Surgery Physician
W4780
TX
Other
Enumeration date
05/28/2020
Last updated
06/22/2026
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