Organization · Type 2 NPI
Blue Agave Functional Medicine Boerne PLLC
General Practice Physician · Boerne, TX
NPI number
1235096447
Active
Practice location
5 Coughran Rd Ste 101
Boerne, TX 78006-8103
Fax (833) 468-4963
Mailing address
5 Coughran Rd # 101
Boerne, TX 78006-8103
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 Boerne
About NPI 1235096447
Blue Agave Functional Medicine Boerne PLLC's National Provider Identifier is 1235096447, issued on Jan 8, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Boerne, TX. The record was last updated on Aug 13, 2026.