Provider Demographics
NPI:1013518869
Name:TEXAS ADVANCED IMAGING LLC
Entity Type:Organization
Organization Name:TEXAS ADVANCED IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHNISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-695-8704
Mailing Address - Street 1:4907 SANDHILL DR STE D
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5352
Mailing Address - Country:US
Mailing Address - Phone:832-553-0190
Mailing Address - Fax:832-581-4312
Practice Address - Street 1:954 S FRY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3061
Practice Address - Country:US
Practice Address - Phone:832-240-3757
Practice Address - Fax:832-581-4134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)