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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BEAU ELLENBECKER DO PLLC
NPI 1659285690
Family Medicine in Southlake, TX

Active since September 29, 2026
245 W STATE HIGHWAY 114 STE 110, SOUTHLAKE, TX 76092(817) 200-9960 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Beau Ellenbecker Do Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAU ELLENBECKER DO PLLC (NPI 1659285690) is a healthcare organization registered as a family medicine in Southlake, Texas and active in the NPI registry since September 2026. The organization lists Beau Ellenbecker, Physician, as its authorized official.

NPPES Registry Identity

NPI1659285690
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEAU ELLENBECKER DO PLLC
Location Address245 W STATE HIGHWAY 114 STE 110Southlake, TX 76092-3639
Mailing Address245 W State Highway 114 Ste 110Southlake, TX 76092-3639 · (817) 200-9960
Phone(817) 200-9960
Organization SubpartNo
Authorized OfficialBeau EllenbeckerPhysician · (817) 201-8587
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1659285690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
245 W STATE HIGHWAY 114 STE 110, Southlake, TX 76092
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beau Ellenbecker Do PLLC's NPI number?

The NPI number for Beau Ellenbecker Do PLLC is 1659285690. It was assigned to this organization in the NPPES registry on September 29, 2026.

Where is Beau Ellenbecker Do PLLC located?

Beau Ellenbecker Do PLLC is located at 245 W State Highway 114 Ste 110, Southlake, TX 76092. The listed phone number is (817) 200-9960.

What is Beau Ellenbecker Do PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Beau Ellenbecker Do PLLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.