Organization
BLUE AGAVE FUNCTIONAL MEDICINE BULVERDE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT PATRICK KNEPPER KNEPPER (MANAGER)
(512) 293-9800
Entity
Organization
Contact information
Practice address
20475 HIGHWAY 46 W STE 350, SPRING BRANCH, TX 78070-6147
(512) 293-9800
Mailing address
3321 WHITT PARK PATH, LEANDER, TX 78641-3975
(512) 293-9800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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