| Name: | Ty Thomas, MD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 14 Apr 2009 (16 years ago) |
| Date of dissolution: | 19 Dec 2013 |
| Entity Number: | 000-432-636 |
| Register Number: | 000432636 |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 4679 VINTAGE LANEBIRMINGHAM, AL 35245-0004 |
Activities
PROFESSIONAL MEDICAL SERVICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447572342 | 2010-02-18 | 2011-10-03 | 860 MONTCLAIR RD, SUITE 955, BIRMINGHAM, AL, 352131923, US | 860 MONTCLAIR RD, SUITE 955, BIRMINGHAM, AL, 352131923, US | |||||||||||||||||
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| Phone | +1 205-331-3160 |
Authorized person
| Name | DR. ROBERT TY THOMAS |
| Role | OWNER |
| Phone | 2053323160 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | 27872 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMAS, ROBERT TY | Agent | 860 MONTCLAIR ROAD SUITE 955BIRMINGHAM, AL 35213 |
| Name | Role | Address |
|---|---|---|
| THOMAS, ROBERT TY | Member | 860 MONTCLAIR ROAD SUITE 955BIRMINGHAM, AL 35213 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
