Organization Active NPI

Procare Nacogdoches LLC

  • Emergency Care Clinic/Center
  • Nacogdoches, TX
National Provider Identifier
1073297875
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
PROCARE NACOGDOCHES LLC
Doing business as
Excel ER Nacogdoches
Practice address
1420 North St
Nacogdoches, TX 75961-4037
Phone
(936) 569-0911
Fax
(936) 569-9131
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rick Harrison
Title
Manager
Phone
(469) 436-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

1420 North St
Nacogdoches, TX 75961-4037

Mailing address

2703 Telecom Pkwy Ste 140a
Richardson, TX 75082-3507
Phone (469) 436-8100

Other names 1

  • Excel ER Nacogdoches Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 670197

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
EXCEL ER NACOGDOCHES
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Apr 28, 2020
Last certification
Apr 28, 2020
Beds
1
Ownership / control type
Private (not for profit)
Facility address
1420 North St
Nacogdoches, TX 75961

National Provider Directory

National Provider Directory

Locations

1420 North St
Nacogdoches, TX 75961
Phone (436) 366-2911

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1073297875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 TELECOM PKWY STE 140A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823507",
            "telephone_number": "469-436-8100",
            "fax_number": "469-436-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614037",
            "telephone_number": "936-569-0911",
            "fax_number": "936-569-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE NACOGDOCHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-436-8100"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel ER Nacogdoches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.