Organization · Type 2 NPI
Blue Agave Functional Medicine Bulverde PLLC
General Practice Physician · Spring Branch, TX
NPI number
1215888573
Active
Practice location
20475 Highway 46 W Ste 350
Spring Branch, TX 78070-6147
Fax (833) 468-5420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Spring Branch
About NPI 1215888573
Blue Agave Functional Medicine Bulverde PLLC's National Provider Identifier is 1215888573, issued on Feb 4, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Spring Branch, TX. The record was last updated on Aug 13, 2026.