0002020966-24-000001.txt : 20240425 0002020966-24-000001.hdr.sgml : 20240425 20240425171824 ACCESSION NUMBER: 0002020966-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240425 DATE AS OF CHANGE: 20240425 EFFECTIVENESS DATE: 20240425 FILER: COMPANY DATA: COMPANY CONFORMED NAME: North Texas Renal Management XII, LLC CENTRAL INDEX KEY: 0002020966 ORGANIZATION NAME: IRS NUMBER: 933364039 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-511642 FILM NUMBER: 24877517 BUSINESS ADDRESS: STREET 1: 1505 LBJ FREEWAY STREET 2: SUITE 700 CITY: DALLAS STATE: X1 ZIP: 75234 BUSINESS PHONE: (214) 358-2300 MAIL ADDRESS: STREET 1: 1505 LBJ FREEWAY STREET 2: SUITE 700 CITY: DALLAS STATE: X1 ZIP: 75234 D 1 primary_doc.xml X0708 D LIVE 0002020966 North Texas Renal Management XII, LLC 1505 LBJ FREEWAY SUITE 700 DALLAS X1 UNITED STATES 75234 (214) 358-2300 TEXAS None None Limited Liability Company true 2023 Geoffrey Walker, M.D. 1505 LBJ Freeway Suite 700 Dallas TX TEXAS 75234 Executive Officer Director Steven M. Gieser, M.D. 1505 LBJ Freeway Suite 700 Dallas TX TEXAS 75234 Executive Officer Director Daniel M. Richey, D.O. 1505 LBJ Freeway Suite 700 Dallas TX TEXAS 75234 Director Jyothsna M. Kodali, M.D. 1505 LBJ Freeway Suite 700 Dallas TX TEXAS 75234 Executive Officer Director Ali M. Khalil, M.D. 1505 LBJ Freeway Suite 700 Dallas TX TEXAS 75234 Director Other Health Care Decline to Disclose 06b false 2024-04-17 false true false 0 1634210 627632 1006578 false 42 0 0 0 false North Texas Renal Management XII, LLC /s/ Geoffrey Walker Geoffrey Walker President 2024-04-25