Provider Demographics
NPI:1245409192
Name:CURTIS BAZEMORE MD,LTD
Entity Type:Organization
Organization Name:CURTIS BAZEMORE MD,LTD
Other - Org Name:XPRESSCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:702-629-7495
Mailing Address - Street 1:6525 N BUFFALO DR STE 130
Mailing Address - Street 2:#100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-4041
Mailing Address - Country:US
Mailing Address - Phone:702-629-7495
Mailing Address - Fax:
Practice Address - Street 1:6525 N BUFFALO DR STE 130
Practice Address - Street 2:#100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-4041
Practice Address - Country:US
Practice Address - Phone:702-629-7495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8404208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty