0001654954-16-002187.txt : 20160914 0001654954-16-002187.hdr.sgml : 20160914 20160914142649 ACCESSION NUMBER: 0001654954-16-002187 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160914 DATE AS OF CHANGE: 20160914 EFFECTIVENESS DATE: 20160914 FILER: COMPANY DATA: COMPANY CONFORMED NAME: College Station ER, LLC CENTRAL INDEX KEY: 0001684631 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-270617 FILM NUMBER: 161884881 BUSINESS ADDRESS: STREET 1: 1502 SOUTH TEXAS AVENUE CITY: COLLEGE STATION STATE: TX ZIP: 77840 BUSINESS PHONE: 832-699-3777 MAIL ADDRESS: STREET 1: 1710 S. DAIRY ASHFORD RD. STREET 2: SUITE 208 CITY: HOUSTON STATE: TX ZIP: 77077 D 1 primary_doc.xml X0707 D LIVE 0001684631 College Station ER, LLC 1502 SOUTH TEXAS AVENUE COLLEGE STATION TX TEXAS 77840 832-699-3777 TEXAS None None Limited Liability Company true 2016 Kanti Bansal, MD PA 603 White Jasmine Trail Houston TX TEXAS 77079 Director Kanti Bansal, MD, PA, a Texas professional association Braun Medical Services, PA 2503 Richton St. Houston TX TEXAS 77079 Director Braun Medical Services, PA, a Texas professional association Quality Care Emergency Services, PLLC 1739 Gladden Way Sugar Land TX TEXAS 77479 Director Quality Care Emergency Services, PLLC, a Texas professional limited liability company Round Table Medical Consultants, LLC 1710 S. Dairy Ashford Rd., Suite 208 Houston TX TEXAS 77077 Executive Officer Round Table Medical Consultants, LLC, a Texas limited liability company Hospitals and Physicians No Revenues 06b false true false true false 0 2505710 0 2505710 false 0 0 0 0 false College Station ER, LLC /s/ Jason Allen Jason Allen Attorney 2016-09-08