Beau Ellenbecker DO PLLC
Beau Ellenbecker DO PLLC provides Family Medicine Physician services in Southlake, Texas. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
245 W State Highway 114 Ste 110Southlake, TX 76092-3639
Phone: (817) 200-9960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1659285690 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beau Ellenbecker — Physician · (817) 201-8587 |
| NPI enumerated | September 29, 2026 |
| Last updated in NPPES | September 29, 2026 |
| Certification date | September 29, 2026 |
| Mailing address | 245 W State Highway 114 Ste 110, Southlake, TX 76092-3639 |
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