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Oxford Centre Physician Group, PA

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Company Details

Name: Oxford Centre Physician Group, PA
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 15 Jun 2012 (13 years ago)
Business ID: 1003693
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 1916 University Ave;P.O Box 1093Oxford, MS 38655

Agent

Name Role Address
Fowlkes, Thomas Agent 1916 University Avenue;P O Box 1093, Oxford, MS 38655

Incorporator

Name Role Address
Thomas Fowlkes Incorporator PO Box1093, Oxford, MS 38655

Director

Name Role Address
Thomas Fowlkes Director PO Box 1093, Oxford, MS 38655

President

Name Role Address
Thomas Fowlkes President PO Box 1093, Oxford, MS 38655

National Provider Identifier

NPI Number:
1477817526

Authorized Person:

Name:
THOMAS DEBOW FOWLKES
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103TP2701X - Group Psychotherapy Psychologist
Is Primary:
Yes

Contacts:

Fax:
6622811326

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2016-11-30 Admin Dissolution
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2015-02-21 Annual Report For Oxford Centre Physician Group, PA
Annual Report Filed 2014-03-05 Annual Report
Annual Report Filed 2013-04-02 Annual Report
Formation Form Filed 2012-06-15 Formation

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Date of last update: 29 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website