Beau Ellenbecker DO PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BEAU ELLENBECKER DO PLLC

Practice address

245 W State Highway 114 Ste 110
Southlake, TX 76092-3639

Phone

(817) 200-9960

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Beau Ellenbecker, DO

Title

Physician

Phone

(817) 201-8587

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1659285690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W STATE HIGHWAY 114 STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923639",
            "telephone_number": "817-200-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W STATE HIGHWAY 114 STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923639",
            "telephone_number": "817-200-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAU ELLENBECKER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "ELLENBECKER",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-201-8587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexander Beatty, DC
• Caitlin Grace Raelee Beauchamp
• Elizabeth Beazley, MSN
• Claire Becker, CCC-SLP
• Jennifer Nicole Beights, D.C.
• Cory Bell, MS

• Family Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.