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

Boerne Regen and Anti-Aging Center, PLLC

Organization Nurse Practitioner · NPI 1417558420

Boerne Regen and Anti-Aging Center, PLLC is a Nurse Practitioner in Boerne, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Reed Rd
Boerne, TX 78006-8605
Phone: (210) 884-2225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1417558420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kasey Frye — Managing Member · (956) 763-7767
NPI enumeratedNovember 5, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020
Mailing address29630 Double Eagle Cir, Fair Oaks Ranch, TX 78015-4934

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