Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BEAU JAMES ELLENBECKER, DO
ActiveDR. BEAU JAMES ELLENBECKER, DO is a Family Medicine healthcare provider located in ROANOKE, Texas. NPI 1679774582 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ROANOKE, TX
Registration Details
- NPI Number
- 1679774582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2007 (19.028314920989 yrs)
- Last Updated
- Mar 16, 2023
- License
-
P1069 (TX)
Practice Information
- Address
-
610 E BYRON NELSON BLVDSUITE 101ROANOKE, TX, 762626541Browse TX providers · Browse ZIP 76262
- Phone
- 8179128200
- Fax
- 8179128210
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ROANOKE, TX
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY BRAD GRIFFIN | D.O. | 1962535278 |
| CHRISTOPHER C BREUDER | MD | 1730361437 |
| OLENA ROMENSKA | M.D. | 1972958494 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.