Provider Demographics
NPI:1992980320
Name:A WAY TO MEANINGFUL LIFE, PA
Entity type:Organization
Organization Name:A WAY TO MEANINGFUL LIFE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-457-9200
Mailing Address - Street 1:1616 S KENTUCKY ST
Mailing Address - Street 2:SUITE C-200
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-2252
Mailing Address - Country:US
Mailing Address - Phone:806-457-9200
Mailing Address - Fax:806-353-4958
Practice Address - Street 1:1616 S KENTUCKY ST
Practice Address - Street 2:SUITE C-200
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-2252
Practice Address - Country:US
Practice Address - Phone:806-457-9200
Practice Address - Fax:806-353-4958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL16872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC08879Medicare UPIN
TX00468TMedicare PIN