Beau James Ellenbecker, DO

Family medicine physician in Roanoke, Texas · NPI 1679774582

Beau Ellenbecker is one of 10 family medicine physicians practicing in Roanoke, Texas. Beau Ellenbecker practices with Healthtexas Provider Network.

Registry record (NPPES)

NPI
1679774582
Type
Type 1 · Individual
Primary taxonomy
Family Medicine · 207Q00000X
Address on file
610 E Byron Nelson Blvd
Roanoke, TX 76262-6541
(817) 912-8200
Enumerated
May 29, 2007
Record last updated
Mar 16, 2023
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Family Practice
Revalidation due
No date set by CMS

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Practice locations

More family medicine physicians in Roanoke

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.