# BLUE AGAVE FUNCTIONAL MEDICINE CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063191138
- **Authorized official:** DR. SCOTT KNEPPER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (512) 293-9800

## Contact information

- **Practice address:** 651 S BUSINESS IH 35 STE 730, NEW BRAUNFELS, TX 78130-4794
- **Practice address phone:** (830) 491-4040
- **Practice address fax:** (830) 584-0995
- **Mailing address:** 651 S BUSINESS IH 35 STE 730, NEW BRAUNFELS, TX 78130-4794
- **Mailing address phone:** (830) 491-4040
- **Mailing address fax:** (830) 584-0995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2023
- **Last updated:** 08/13/2026