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Ty Thomas, MD, LLC

Details

Name: Ty Thomas, MD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 14 Apr 2009 (16 years ago) (Companies founded in April 2009)
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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
THOMAS, ROBERT TY Agent 860 MONTCLAIR ROAD SUITE 955BIRMINGHAM, AL 35213

Member

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