Organization · Type 2 NPI
Beau Ellenbecker Do PLLC
Family Medicine Physician · Southlake, TX
NPI number
1659285690
Active
Practice location
245 W State Highway 114 Ste 110
Southlake, TX 76092-3639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | None listed |
Family Medicine Physician: 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.
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About NPI 1659285690
Beau Ellenbecker Do PLLC's National Provider Identifier is 1659285690, issued on Sep 29, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Southlake, TX. The record was last updated on Oct 6, 2026.