Search › Texas › Plastic Surgery Physician
Taylor Chishom, MD MPH
NPI 1912520669 · on the registry since 2020
Practice
- Address
- 415 E Southlake Blvd Ste 101
Southlake, TX 76092 - Phone
- (972) 636-4902
- Fax
- (817) 421-8327
- Organisation at this address
- Mediclinkmd One-P Llc
Virtuoso Surgery Center
Mediclink Management GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Plastic Surgery Physician
208200000X
- Also registered as
- Plastic Surgery Physician
- Licence states on file
- TX, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-22
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