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Provider record · NPI 1477478923 · active

BLUE AGAVE FUNCTIONAL MEDICINE LEANDER PLLC

General Practice Physician in LEANDER, Texas

Record

NPI
1477478923
Type
Organization (NPI-2)
Specialty
General Practice Physician (208D00000X)
Practice location
LEANDER TX 78641
Practice phone
8304914040
Last updated
2026-08-13

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Contact details

Work email
Not on file
Home address
Not matched
Cell phone
Not matched

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Leadership on file

1 named leadership contact on file, by role:

Owner
1

Executives, officers and owners as public filings name them, with the title each filing gives them. Leadership across US healthcare, by role.

What they bill and prescribe

The procedures this provider billed Medicare for, code by code, and the drugs they prescribed under Part D — from published Medicare data for 2024, for signed-in customers. Search can be filtered on either by name, so “knee replacement” and “Eliquis” are queries rather than codes.

Published Medicare fee-for-service data for 2024, covering about one in seven clinicians nationally, and more in the specialties that bill it most — not all-payor claims, and low-volume providers are removed before publication. A provider with nothing published has no published Medicare volume, which covers no volume, volume below the publication threshold and not billing Medicare at all — the published data does not separate them. Provider-level aggregates only; nothing patient-level exists here. What it covers.

Also in the record

Group affiliations and employers, facility ownership, programme standing and licence detail appear here for signed-in customers.

Similar organisations

Organisations like BLUE AGAVE FUNCTIONAL MEDICINE LEANDER PLLC

OrganisationTypeLocationBeds
Ron Mansolo MD PAGeneral Practice PhysicianLeander, TX—
FAQ

About BLUE AGAVE FUNCTIONAL MEDICINE LEANDER PLLC

Who runs BLUE AGAVE FUNCTIONAL MEDICINE LEANDER PLLC?

1 named leadership contact is on file (owner 1). Names and titles are available to signed-in customers.

Reach the people behind BLUE AGAVE FUNCTIONAL MEDICINE LEANDER PLLC

An NPI is an identifier, not a credential: it says this provider is enumerated, not that they are licensed or in good standing today.

BLUE AGAVE FUNCTIONAL MEDICINE LEANDER PLLC · NPI 1477478923 · NPI Mark