MEDICARE: PURPLE LOTUS FERTILITY & BIRTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1619824554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPLE LOTUS FERTILITY & BIRTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	7815 PACIFIC SPRING LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4031
Country	:	US
Telephone Number	:	713-256-5672
Fax Number	:

Provider Business Practice Location Address
First Line	:	7815 PACIFIC SPRING LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4031
Country	:	US
Telephone Number	:	713-256-5672
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YAEL BUCHANON
Credential	:
Telephone Number	:	713-256-5672

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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