# PREMIER PLASTIC AND RECONSTRUCTIVE SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780343848
- **Authorized official:** CHANDRA VARNER ELLIS (PROVIDER / OWNER)
- **Authorized official phone:** (210) 575-2876

## Contact information

- **Practice address:** 7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
- **Practice address phone:** (210) 575-2876
- **Practice address fax:** (888) 849-4257
- **Mailing address:** 307 DEVON DR, SAN RAFAEL, CA 94903-3709
- **Mailing address phone:** (415) 491-1210
- **Mailing address fax:** (888) 849-4257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | Yes |
| 2086S0102X | Surgical Critical Care Physician | — | — | Yes |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 12/15/2021
- **Last updated:** 03/28/2026