0001010549-21-000233.txt : 20211015
0001010549-21-000233.hdr.sgml : 20211015
20211015123859
ACCESSION NUMBER: 0001010549-21-000233
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20211015
DATE AS OF CHANGE: 20211015
EFFECTIVENESS DATE: 20211015
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Physicians Integrated Network, LLC
CENTRAL INDEX KEY: 0001723003
IRS NUMBER: 472141786
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-374541
FILM NUMBER: 211325521
BUSINESS ADDRESS:
STREET 1: 17300 N. DALLAS PARKWAY
STREET 2: SUITE 3010
CITY: DALLAS
STATE: TX
ZIP: 75248
BUSINESS PHONE: 469-250-1740
MAIL ADDRESS:
STREET 1: 17300 N. DALLAS PARKWAY
STREET 2: SUITE 3010
CITY: DALLAS
STATE: TX
ZIP: 75248
FORMER COMPANY:
FORMER CONFORMED NAME: Physicians Integrated Network, LP
DATE OF NAME CHANGE: 20171116
D/A
1
primary_doc.xml
X0708
D/A
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0001723003
Physicians Integrated Network, LLC
17300 DALLAS PARKWAY
SUITE 3010
DALLAS
TX
TEXAS
75248
214-954-4135
TEXAS
None
Physicians Integrated Network, LP
Limited Liability Company
true
John
Moore, M.D.
17300 Dallas Parkway
Suite 3010
Dallas
TX
TEXAS
75248
Executive Officer
Director
Rick
Grizzle
17300 Dallas Parkway
Suite 3010
Dallas
TX
TEXAS
75248
Director
Sam
Lee
17300 Dallas Parkway
Suite 3010
Dallas
TX
TEXAS
75248
Director
Steve
Lieman
17300 Dallas Parkway
Suite 3010
Dallas
TX
TEXAS
75248
Director
Guy
Culpepper
17300 Dallas Parkway
Suite 3010
Dallas
TX
TEXAS
75248
Director
Scott
Goldstein
17300 Dallas Parkway
Suite 3010
Dallas
TX
TEXAS
75248
Director
Frank
Roby
17300 Dallas Parkway
Suite 3010
Dallas
TX
TEXAS
75248
Director
Other Health Care
$1,000,001 - $5,000,000
- 06b
true
0001723003-20-000002
2020-07-24
true
true
false
1500
None
None
None
None
NONE
NONE
X1
UNITED STATES
None
CO
COLORADO
LA
LOUISIANA
NC
NORTH CAROLINA
OK
OKLAHOMA
TX
TEXAS
false
Indefinite
2755370
Indefinite
May conduct integrated offerings in additional states. Currently no total offering amount.
false
150
0
0
0
false
Physicians Integrated Network, LLC
/s/ John Moore, M.D.
John Moore, M.D.
President; Chairman of the Board of Mangers of the General P
2020-08-25