| Name: | Whitaker Medical, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Merged |
| Date of registration: | 30 Jun 2007 (17 years ago) (Companies founded in June 2007) |
| Entity Number: | 000-071-733 |
| Register Number: | 000071733 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Texas |
| Principal Address: | 10375 RICHMOND AVENUE, SUITE 1700HOUSTON, TX 77042 |
| Principal Mailing Address: | 26745 MALIBU HILLS RDCALABASAS, CA 91301-5355 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174833107 | 2010-10-08 | 2010-10-08 | 525 MADISON ST SE, SUITE 203, HUNTSVILLE, AL, 358014268, US | 525 MADISON ST SE, SUITE 203, HUNTSVILLE, AL, 358014268, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 866-830-9002 |
Authorized person
| Name | MS. MACKENZIE NICHOLS |
| Role | PHYSICIAN ASSISTANT |
| Phone | 5753186833 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| State | TX |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
