Provider Demographics
NPI:1902795883
Name:YELLOWPURPLE LLC
Entity type:Organization
Organization Name:YELLOWPURPLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAIR RESTORATION SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTHCARE PROVIDER
Authorized Official - Phone:469-647-1611
Mailing Address - Street 1:5900 BALCONES DR # 14719
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:469-647-1611
Mailing Address - Fax:
Practice Address - Street 1:9200 LEBANON RD STE 40
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6555
Practice Address - Country:US
Practice Address - Phone:469-647-1611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty