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Organization
BLUE AGAVE FUNCTIONAL MEDICINE BOERNE PLLC
Active
Organization
BLUE AGAVE FUNCTIONAL MEDICINE BOERNE PLLC
Active
Other names
Blue Agave Functional Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT P KNEPPER MD (MEDICAL DIRECTOR)
(512) 293-9800
Entity
Organization
Contact information
Practice address
5 COUGHRAN RD STE 101, BOERNE, TX 78006-8103
(830) 491-4040
(833) 468-4963
Mailing address
5 COUGHRAN RD # 101, BOERNE, TX 78006-8103
(830) 491-4040
(833) 468-4963
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
08/13/2026
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