Provider Demographics
NPI:1700525664
Name:VARELLA, BROOKLYN LEE (MD)
Entity type:Individual
Prefix:
First Name:BROOKLYN
Middle Name:LEE
Last Name:VARELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BROOKLYN
Other - Middle Name:LEE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR # MC7795
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-358-3888
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR # MC7795
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-358-3931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV9436207Q00000X
TXBP10078445207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX744204OtherTEXAS MEDICAL BOARD PHYSICIAN IN TRAINING