DR. Beau James Ellenbecker, DO

NPI #1679774582 in Roanoke, Texas

Provider Information

NPI Number: 1679774582
Entity Type: Individual
Name: DR. Beau James Ellenbecker, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 29, 2007
Last Updated: Mar 16, 2023

Practice Location

Address: 610 E BYRON NELSON BLVD
Address 2: SUITE 101
City: Roanoke
State: Texas
ZIP Code: 76262-6541
Phone: (817) 912-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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