0001654954-16-003188.txt : 20161028 0001654954-16-003188.hdr.sgml : 20161028 20161028163840 ACCESSION NUMBER: 0001654954-16-003188 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161028 DATE AS OF CHANGE: 20161028 EFFECTIVENESS DATE: 20161028 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Stafford Emergency Center, LLC CENTRAL INDEX KEY: 0001688776 IRS NUMBER: 813460167 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-273455 FILM NUMBER: 161959034 BUSINESS ADDRESS: STREET 1: 3531 S. MAIN STREET CITY: STAFFORD STATE: TX ZIP: 77477 BUSINESS PHONE: 832-699-3777 MAIL ADDRESS: STREET 1: 1710 S. DAIRY ASHFORD RD., SUITE 208 CITY: HOUSTON STATE: TX ZIP: 77077 D 1 primary_doc.xml X0707 D LIVE 0001688776 Stafford Emergency Center, LLC 3531 S. MAIN STREET STAFFORD TX TEXAS 77477 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 77098 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 professional limited liability company Hospitals and Physicians No Revenues 06b false true false true false 0 2937500 0 2937500 false 0 0 0 0 false Stafford Emergency Center, LLC /s/ Jason Allen Jason Allen Attorney 2016-10-25