Active NPI
Golden Mesa LLC
- Emergency Care Clinic/Center
- Allen, TX
National Provider Identifier
1275409112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- GOLDEN MESA LLC
- Practice address
- 1836 E Bethany Dr
Allen, TX 75002-5800 - Phone
- (469) 795-4434
- Fax
- (469) 795-4437
- NPI assigned
- Oct 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Tyler
- Title
- Sr. MGR. of Research & Innovation
- Phone
- (903) 491-6066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
1836 E Bethany Dr
Allen, TX 75002-5800
Mailing address
1005 S Crowley Rd
Crowley, TX 76036-4282
Phone (903) 491-6066
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1275409112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 S CROWLEY RD",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760364282",
"telephone_number": "903-491-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 E BETHANY DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750025800",
"telephone_number": "469-795-4434",
"fax_number": "469-795-4437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN MESA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "TYLER",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "SR. MGR. OF RESEARCH & INNOVATION",
"authorized_official_telephone_number": "903-491-6066"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.