Provider Demographics
NPI:1427505023
Name:TIRMIZI, FARKHANDA AZIM (DDS)
Entity type:Individual
Prefix:DR
First Name:FARKHANDA
Middle Name:AZIM
Last Name:TIRMIZI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 LONE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7315
Mailing Address - Country:US
Mailing Address - Phone:214-403-0287
Mailing Address - Fax:
Practice Address - Street 1:820 N ZANG BLVD # 110
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4233
Practice Address - Country:US
Practice Address - Phone:214-948-3364
Practice Address - Fax:214-948-1339
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32320122300000X, 1223G0001X, 125K00000X, 125Q00000X, 207P00000X, 207Q00000X, 207ZF0201X, 207ZP0102X, 2085R0202X, 2085R0205X, 208D00000X, 208U00000X, 208VP0014X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
No125K00000XDental ProvidersAdvanced Practice Dental Therapist
No125Q00000XDental ProvidersDentistOral Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0205XAllopathic & Osteopathic PhysiciansRadiologyRadiological Physics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine