| Blue Agave Functional Medicine Bulverde Pllc | |
|
20475 Highway 46 W Ste 350 Spring Branch TX 78070-6147 | |
| (512) 293-9800 | |
| Not Available |
| Full Name | Blue Agave Functional Medicine Bulverde Pllc |
|---|---|
| Speciality | General Practice |
| Location | 20475 Highway 46 W Ste 350, Spring Branch, Texas |
| Authorized Official Name and Position | Scott Patrick Knepper (MANAGER) |
| Authorized Official Contact | 5122939800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Agave Functional Medicine Bulverde Pllc 3321 Whitt Park Path Leander TX 78641-3975 Ph: (512) 293-9800 | Blue Agave Functional Medicine Bulverde Pllc 20475 Highway 46 W Ste 350 Spring Branch TX 78070-6147 Ph: (512) 293-9800 |
| NPI Number | 1215888573 |
|---|---|
| Provider Enumeration Date | 02/04/2026 |
| Last Update Date | 02/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215888573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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