0001831348-23-000001.txt : 20231003 0001831348-23-000001.hdr.sgml : 20231003 20231003165509 ACCESSION NUMBER: 0001831348-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231003 DATE AS OF CHANGE: 20231003 EFFECTIVENESS DATE: 20231003 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Wilson Creek Surgical Center, LLC CENTRAL INDEX KEY: 0001831348 IRS NUMBER: 274816583 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-493724 FILM NUMBER: 231304912 BUSINESS ADDRESS: STREET 1: 8855 SYNERGY DRIVE CITY: MCKINNEY STATE: TX ZIP: 75070 BUSINESS PHONE: 5055452734 MAIL ADDRESS: STREET 1: 8855 SYNERGY DRIVE CITY: MCKINNEY STATE: TX ZIP: 75070 D 1 primary_doc.xml X0708 D LIVE 0001831348 Wilson Creek Surgical Center, LLC 8855 SYNERGY DRIVE MCKINNEY TX TEXAS 75070 5055452734 TEXAS None None Limited Liability Company true Robert Schwab, MD 8855 Synergy Drive McKinney TX TEXAS 75070 Director Dominique Nickson, MD 8855 Synergy Drive McKinney TX TEXAS 75070 Director Gulam Waheed, D.P. 8855 Synergy Drive McKinney TX TEXAS 75070 Director Amanda Thrash 8855 Synergy Drive McKinney TX TEXAS 75070 Director Michael Kogan 8855 Synergy Drive McKinney TX TEXAS 75070 Director Becky Tucker 8855 Synergy Drive McKinney TX TEXAS 75070 Executive Officer DeShon Woods 8855 Synergy Drive McKinney TX TEXAS 75070 Executive Officer Brandon Frazier 8855 Synergy Drive McKinney TX TEXAS 75070 Executive Officer John Whiteley 8855 Synergy Drive McKinney TX TEXAS 75070 Executive Officer Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 TX TEXAS false 486955 0 486955 false 0 0 0 0 false Wilson Creek Surgical Center, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2023-10-03