Healthcare Provider Details

I. General information

NPI: 1689587297
Provider Name (Legal Business Name): ADVANTIS MRI & DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 FM 646 RD W
DICKINSON TX
77539-3237
US

IV. Provider business mailing address

6300 RICHMOND AVE STE 104
HOUSTON TX
77057-5927
US

V. Phone/Fax

Practice location:
  • Phone: 877-345-4255
  • Fax:
Mailing address:
  • Phone: 877-345-4255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RAHEEL KHAN
Title or Position: CEO
Credential:
Phone: 713-376-9134