Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Agave Functional Medicine Boerne PLLC

Organization General Practice Physician · NPI 1235096447

Blue Agave Functional Medicine Boerne PLLC is a General Practice Physician in Boerne, Texas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5 Coughran Rd Ste 101
Boerne, TX 78006-8103
Phone: (512) 293-9800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1235096447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Knepper — Medical Director · (512) 293-9800
Other names Blue Agave Functional Medicine Clinic
NPI enumeratedJanuary 8, 2026
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address3321 Whitt Park Path, Leander, TX 78641-3975