# BLUE AGAVE FUNCTIONAL MEDICINE BULVERDE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Agave Functional Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215888573
- **Authorized official:** DR. SCOTT PATRICK KNEPPER KNEPPER (MANAGER)
- **Authorized official phone:** (512) 293-9800

## Contact information

- **Practice address:** 20475 HIGHWAY 46 W STE 350, SPRING BRANCH, TX 78070-6147
- **Practice address phone:** (830) 491-4040
- **Practice address fax:** (833) 468-5420
- **Mailing address:** 20475 HIGHWAY 46 W STE 350, SPRING BRANCH, TX 78070-6147
- **Mailing address phone:** (830) 491-4040
- **Mailing address fax:** (833) 468-5420

## Taxonomy

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

## Other

- **Enumeration date:** 02/04/2026
- **Last updated:** 08/13/2026