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
(512) 293-9800
Mailing address
3321 WHITT PARK PATH, LEANDER, TX 78641-3975
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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