| Name: | Brookwood Specialty Care - Endocrinology, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 05 Mar 2013 (12 years ago) |
| Date of dissolution: | 05 Jul 2022 |
| Entity Number: | 000-072-190 |
| Register Number: | 000072190 |
| 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
PROVISION OF HEALTH CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154761310 | 2013-07-02 | 2016-05-26 | PO BOX 742913, ATLANTA, GA, 303742913, US | 513 BROOKWOOD BLVD, STE 400, BIRMINGHAM, AL, 352096862, US | |||||||||||||||
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| Phone | +1 205-802-6722 |
| Fax | 2058026730 |
Authorized person
| Name | MR. WESLEY O. JAMES |
| Role | REGIONAL CFO, TENET |
| Phone | 4042655009 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role | Address |
|---|---|---|
| BROOKWOOD PRIMARY NETWORK CARE INC. | Organizer | 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202 |
| MACK, KRISTINA A | Organizer | 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
