NPI 1366268906 · live from the CMS NPI Registry
Alexander Timeless Group LLC
Internal Medicine, Critical Care Medicine in Bossier City, LA. National Provider Identifier 1366268906, active.
NPI record
| NPI | 1366268906 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Critical Care Medicine 207RC0200X |
| Practice location | 4900 Medical Dr, Bossier City, LA 71112 |
| Practice phone | 318-773-0657 |
| Mailing address | Po Box 19284, Shreveport, LA 71149 |
| Enumerated | November 27, 2024 |
| Last updated | June 5, 2025 |
| Authorized official | Ajit Alexander, Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Critical Care Medicine primary | 207RC0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.