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Brookwood Medical Partners - ENT, L.L.C.

Details

Name: Brookwood Medical Partners - ENT, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 21 Aug 2012 (12 years ago)
Date of dissolution: 22 Aug 2017
Entity Number: 000-043-689
Register Number: 000043689
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

Activities ANY LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750631693 2012-09-19 2016-05-26 4902 VALLEYDALE RD, BIRMINGHAM, AL, 352424613, US 2018 BROOKWOOD MEDICAL CTR DR, SUITE 314, BIRMINGHAM, AL, 352096898, US

Contacts

Phone +1 205-980-8099
Fax 2059802606
Phone +1 205-877-2950
Fax 2058772952

Authorized person

Name MR. WESLEY O. JAMES
Role REGIONAL CFO, TENET
Phone 4042655009

Taxonomy

Taxonomy Code 207Y00000X - Otolaryngology Physician
Is Primary Yes

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Organizer

Name Role Address
BROOKWOOD PRIMARY NETWORK CARE, INC Organizer 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State