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Beau Ellenbecker, DO
NPI 1679774582 · on the registry since 2007
Practice
- Address
- 610 E Byron Nelson Blvd
Suite 101
Roanoke, TX 76262 - Phone
- (817) 912-8200
- Fax
- (817) 912-8210
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas