Premier Plastic and Reconstructive Surgery PLLC

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

Legal business name

PREMIER PLASTIC AND RECONSTRUCTIVE SURGERY PLLC

Practice address

7700 Floyd Curl Dr
San Antonio, TX 78229-3902

Phone

(210) 575-2876

Fax

(888) 849-4257

NPI assigned

Dec 15, 2021

Last updated

Mar 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chandra Varner EllisNPI 1689860389

Title

Provider / Owner

Phone

(210) 575-2876

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandra Varner Ellis, M.D.

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
  • NPI 1689860389
  Medicare reassignment NPD Authorized official
• Ashley Nichole Smith, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1871136119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774656000000",
    "number": "1780343848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 DEVON DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033709",
            "telephone_number": "415-491-1210",
            "fax_number": "888-849-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293902",
            "telephone_number": "210-575-2876",
            "fax_number": "888-849-4257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4458 Medical Dr Ste 505",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293748",
            "country_code": "US",
            "telephone_number": "210-575-2876",
            "fax_number": "877-287-6362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER PLASTIC AND RECONSTRUCTIVE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "VARNER",
        "authorized_official_title_or_position": "PROVIDER / OWNER",
        "authorized_official_telephone_number": "210-575-2876"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442357601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Critical Care Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgical Critical Care Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.