Individual
DR. CHANDRA VARNER ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
(210) 575-2876
(888) 849-4257
Mailing address
307 DEVON DR, SAN RAFAEL, CA 94903-3709
(415) 491-1210
(888) 849-4257
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
S5161
TX
2086S0102X
Surgical Critical Care Physician
S5161
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
S5161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408628201
—
TX
Enumeration date
09/18/2007
Last updated
03/28/2026
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